Dire, Michael Anthony
Dire, Michael Anthony is an individual health care provider with primary practice located at 5704 Evergreen Way A, Everett WA 98203. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dire, Michael Anthony can be contacted via phone (425) 290-7550.Contact Information
Primary practice address
5704 Evergreen Way A
Everett WA 98203
Phone: (425) 290-7550
Fax: (425) 290-3940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4072 | Washington |
Profile Details
| NPI number | 1619030657 |
|---|---|
| LBN Legal business name | Dire, Michael Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619030657 | NPPES |
| Washington | MEDICAID | 5391206 |
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