Picard, Urban Michael
Picard, Urban Michael is an individual health care provider with primary practice located at 15711 Madison Ave Ste 104 , Lakewood OH 44107-5655. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Picard, Urban Michael can be contacted via phone (216) 228-9000.Contact Information
Primary practice address
15711 Madison Ave Ste 104
Lakewood OH 44107-5655
Phone: (216) 228-9000
Fax: (216) 228-8280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30.017754 | Ohio |
Profile Details
| NPI number | 1407885601 |
|---|---|
| LBN Legal business name | Picard, Urban Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| 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 | 1407885601 | NPPES |
| Ohio | MEDICAID | 0879581 |
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