Mccool, Michael John
Mccool, Michael John is an individual health care provider with primary practice located at 4711 N Brady St , Davenport IA 52806-3969. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mccool, Michael John can be contacted via phone (563) 386-9770.Contact Information
Primary practice address
4711 N Brady St
Davenport IA 52806-3969
Phone: (563) 386-9770
Fax: (563) 386-9015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 06685 | Iowa |
Profile Details
| NPI number | 1164641007 |
|---|---|
| LBN Legal business name | Mccool, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jun 8th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164641007 | NPPES |
| Iowa | MEDICAID | 0007583 |
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