Letkewicz, Michael T

Letkewicz, Michael T is an individual health care provider with primary practice located at 3430 Kimball Ave , Waterloo IA 50702. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Letkewicz, Michael T can be contacted via phone (319) 234-1210.

Contact Information

Primary practice address
3430 Kimball Ave Waterloo IA 50702
Fax: (319) 234-4671
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7695 Iowa

Profile Details

NPI number 1366585119
LBN Legal business name Letkewicz, Michael T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 14 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 1366585119 NPPES
Iowa MEDICAID 0106302
Iowa Other 14545

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