Andes, Michael

Andes, Michael is an sole proprietor health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Andes, Michael can be contacted via phone (605) 385-6700.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.026212 Ohio

Profile Details

NPI number 1811505910
LBN Legal business name Andes, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2020
Last updated Jul 27th, 2023 - about 2 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 1811505910 NPPES
Other 291515 MILITARY

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