Carol, Michael Andrew
Carol, Michael Andrew is an sole proprietor health care provider with primary practice located at 2620 College Ln , Allentown PA 18103-3765. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carol, Michael Andrew can be contacted via phone (610) 433-1177.Contact Information
Primary practice address
2620 College Ln
Allentown PA 18103-3765
Phone: (610) 433-1177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS025225L | Pennsylvania |
Profile Details
| NPI number | 1972593739 |
|---|---|
| LBN Legal business name | Carol, Michael Andrew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972593739 | NPPES |
| Pennsylvania | MEDICAID | 001085989 |
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