Wershba, Ronald S

Wershba, Ronald S is an sole proprietor health care provider with primary practice located at 5621 Metropoliatan Ave , Ridgewood NY 11385. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wershba, Ronald S can be contacted via phone (718) 281-2149.

Contact Information

Primary practice address
5621 Metropoliatan Ave Ridgewood NY 11385
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 26756 New York

Profile Details

NPI number 1255510145
LBN Legal business name Wershba, Ronald S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255510145 NPPES
New York MEDICAID 00284015

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