Carolan, Kevin Bruce

Carolan, Kevin Bruce is an sole proprietor health care provider with primary practice located at 901 Superior St , Port Huron MI 48060-3746. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carolan, Kevin Bruce can be contacted via phone (810) 982-7682.

Contact Information

Primary practice address
901 Superior St Port Huron MI 48060-3746
Fax: (810) 984-2653
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901012677 Michigan

Profile Details

NPI number 1184629453
LBN Legal business name Carolan, Kevin Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
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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