Denhartog, Michelle

Denhartog, Michelle is an individual health care provider with primary practice located at 12 Woods Dr , Port Jefferson Station NY 11776-3600. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Denhartog, Michelle can be contacted via phone (631) 807-6566.

Contact Information

Primary practice address
12 Woods Dr Port Jefferson Station NY 11776-3600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1097304171 New York

Profile Details

NPI number 1376089292
LBN Legal business name Denhartog, Michelle
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2017
Last updated Jan 17th, 2017 - about 9 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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