Jergins, Michael Bradley
Jergins, Michael Bradley is an individual health care provider with primary practice located at 5628 Circa Fishhawk Blvd , Lithia FL 33547-4218. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jergins, Michael Bradley can be contacted via phone (813) 796-7668.Contact Information
Primary practice address
5628 Circa Fishhawk Blvd
Lithia FL 33547-4218
Phone: (813) 796-7668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN15034 | Florida |
Profile Details
| NPI number | 1578567301 |
|---|---|
| LBN Legal business name | Jergins, Michael Bradley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Feb 20th, 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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