Mcleod, Paul Michael
Mcleod, Paul Michael is an sole proprietor health care provider with primary practice located at 919 E Jefferson Blvd Ste Ll02 , South Bend IN 46617-3119. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcleod, Paul Michael can be contacted via phone (574) 233-7331.Contact Information
Primary practice address
919 E Jefferson Blvd Ste Ll02
South Bend IN 46617-3119
Phone: (574) 233-7331
Fax: (574) 233-3434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009809A | Indiana |
| Dental Providers / General Practice | 1223G0001X | 1223G0001X | Indiana |
Profile Details
| NPI number | 1962670208 |
|---|---|
| LBN Legal business name | Mcleod, Paul Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Feb 20th, 2008 - about 17 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 | 1962670208 | NPPES |
| Indiana | MEDICAID | 200091260A |
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