Love, Michael Alan

Love, Michael Alan is an individual health care provider with primary practice located at 3212 33Rd St , Astoria NY 11106-2128. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Love, Michael Alan can be contacted via phone (718) 726-8012.

Contact Information

Primary practice address
3212 33Rd St Astoria NY 11106-2128
Fax: (718) 728-3353
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 031810 New York

Profile Details

NPI number 1457300105
LBN Legal business name Love, Michael Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 9th, 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 1457300105 NPPES
New York MEDICAID 00984978

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