Panczyszyn, John Michael
Panczyszyn, John Michael is an individual health care provider with primary practice located at 938 Bridgewater Dr Unit 3B, Port Orange FL 32129-4139. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Panczyszyn, John Michael can be contacted via phone (386) 756-3728.Contact Information
Primary practice address
938 Bridgewater Dr Unit 3B
Port Orange FL 32129-4139
Phone: (386) 756-3728
Fax: (386) 756-3654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN0009950 | Florida |
Profile Details
| NPI number | 1629113543 |
|---|---|
| LBN Legal business name | Panczyszyn, John Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629113543 | NPPES |
| Other | 43352 | UNITED CONCORDIA |
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