Gavin, Michael
Gavin, Michael is an individual health care provider with primary practice located at 1637 Main St , Onalaska WI 54650-2853. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gavin, Michael can be contacted via phone (608) 781-3999.Contact Information
Primary practice address
1637 Main St
Onalaska WI 54650-2853
Phone: (608) 781-3999
Fax: (608) 781-3998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7149 | Wisconsin |
Profile Details
| NPI number | 1194818922 |
|---|---|
| LBN Legal business name | Gavin, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 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.
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