Trtanj, Albert Willliam
Trtanj, Albert Willliam is an individual health care provider with primary practice located at 1820 Delmar Ave , Granite City IL 62040. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Trtanj, Albert Willliam can be contacted via phone (618) 877-4488.Contact Information
Primary practice address
1820 Delmar Ave
Granite City IL 62040
Phone: (618) 877-4488
Fax: (618) 877-4487
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 009647 | Missouri |
Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
NPI number | 1245379163 |
---|---|
LBN Legal business name | Trtanj, Albert Willliam |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245379163 | NPPES |
Illinois | MEDICAID | 1004027 |
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