Bologna, Bret A

Bologna, Bret A is an sole proprietor health care provider with primary practice located at 11039 Broadway Suite A, Crown Point IN 46307-8834. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bologna, Bret A can be contacted via phone (219) 663-7193.

Contact Information

Primary practice address
11039 Broadway Suite A Crown Point IN 46307-8834
Phone: (219) 663-7193
Fax: (219) 663-7833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009795 Indiana

Profile Details

NPI number 1922123637
LBN Legal business name Bologna, Bret A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Oct 16th, 2012 - about 14 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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