Fomich, Michael Joseph
Fomich, Michael Joseph is an sole proprietor health care provider with primary practice located at 125 E Main St. , Louisville OH 44641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fomich, Michael Joseph can be contacted via phone (330) 753-3007.Contact Information
Primary practice address
125 E Main St.
Louisville OH 44641
Phone: (330) 753-3007
Fax: (330) 753-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19794 | Ohio |
Profile Details
| NPI number | 1619043239 |
|---|---|
| LBN Legal business name | Fomich, Michael Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jun 27th, 2012 - about 13 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 | 1619043239 | NPPES |
| Ohio | MEDICAID | 0965988 |
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