Blackhurst, Michael Lawrence
Blackhurst, Michael Lawrence is an sole proprietor health care provider with primary practice located at 160 S Broadway , Pennsville NJ 08070-2220. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blackhurst, Michael Lawrence can be contacted via phone (856) 678-5124.Contact Information
Primary practice address
160 S Broadway
Pennsville NJ 08070-2220
Phone: (856) 678-5124
Fax: (856) 678-8637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DIO1828800 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | G10001062 | Delaware |
Profile Details
| NPI number | 1205040896 |
|---|---|
| LBN Legal business name | Blackhurst, Michael Lawrence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 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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