Mikesell, Blake Charles
Mikesell, Blake Charles is an sole proprietor health care provider with primary practice located at 1955 N Pontiac Trl , Walled Lake MI 48390-3157. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mikesell, Blake Charles can be contacted via phone (248) 669-2311.Contact Information
Primary practice address
1955 N Pontiac Trl
Walled Lake MI 48390-3157
Phone: (248) 669-2311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901601410 | Michigan |
Profile Details
| NPI number | 1689300659 |
|---|---|
| LBN Legal business name | Mikesell, Blake Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2022 |
| Last updated | Aug 1st, 2022 - about 4 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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