Hackenberger, Ryan Chase

Hackenberger, Ryan Chase is an individual health care provider with primary practice located at 19511 Mack Ave , Grosse Pointe Woods MI 48236-2836. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Hackenberger, Ryan Chase can be contacted via phone (313) 882-7152.

Contact Information

Primary practice address
19511 Mack Ave Grosse Pointe Woods MI 48236-2836
Phone: (313) 882-7152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Dental Providers / General Practice 1223G0001X 2901602287 Michigan

Profile Details

NPI number 1326884602
LBN Legal business name Hackenberger, Ryan Chase
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2024
Last updated Jul 17th, 2024 - about 2 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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