Legg, Carl Alan

Legg, Carl Alan is an individual health care provider with primary practice located at 410 East State St , Athens OH 45701-1819. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Legg, Carl Alan can be contacted via phone (740) 592-6674.

Contact Information

Primary practice address
410 East State St Athens OH 45701-1819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30014445 Ohio

Profile Details

NPI number 1154347144
LBN Legal business name Legg, Carl Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154347144 NPPES
Ohio MEDICAID 0300070

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