Daniel, George
Daniel, George is an sole proprietor health care provider with primary practice located at 200 Riverfront Dr Apt 3I , Detroit MI 48226-4592. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Daniel, George can be contacted via phone (313) 854-0049.Contact Information
Primary practice address
200 Riverfront Dr Apt 3I
Detroit MI 48226-4592
Phone: (313) 854-0049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 1223D0001X | Michigan |
Profile Details
| NPI number | 1750782504 |
|---|---|
| LBN Legal business name | Daniel, George |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2014 |
| Last updated | Sep 11th, 2014 - about 12 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 | 1750782504 | NPPES |
| Michigan | MEDICAID | RMR04 |
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