Barroso, David R

Barroso, David R is an sole proprietor health care provider with primary practice located at 402 Main St , Blanchard MI 49310-9120. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barroso, David R can be contacted via phone (989) 561-2865.

Contact Information

Primary practice address
402 Main St Blanchard MI 49310-9120
Fax: (989) 561-2910
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901014523 Michigan

Profile Details

NPI number 1427159730
LBN Legal business name Barroso, David R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2007 - about 19 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 1427159730 NPPES
Michigan MEDICAID 2582100

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