Chisick, Michael Christopher

Chisick, Michael Christopher is an individual health care provider with primary practice located at 1631 Wetzel Ave Bldg 815, Fort Carson CO 80913-4095. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chisick, Michael Christopher can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
1631 Wetzel Ave Bldg 815 Fort Carson CO 80913-4095
Phone: (719) 526-5537
Fax: (719) 524-2843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30-022838 Ohio
Dental Providers / Dentist 122300000X 59659 California
Dental Providers / Dentist 122300000X DE60198298 Washington
Dental Providers / Dentist 122300000X RES.2658 Ohio
Dental Providers / Dentist 122300000X DEN.00106346 Colorado

Profile Details

NPI number 1568791440
LBN Legal business name Chisick, Michael Christopher
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2009
Last updated May 27th, 2016 - about 10 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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