Prather, Michelle
Prather, Michelle is an individual health care provider with primary practice located at 35Th Medical Group - Misawa Air Base Unit 5024, Building 99, Apo AP 96319. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Prather, Michelle can be contacted via phone (618) 960-9065.Contact Information
Primary practice address
35Th Medical Group - Misawa Air Base Unit 5024, Building 99
Apo AP 96319
Phone: (618) 960-9065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019.028636 | Illinois |
Profile Details
| NPI number | 1346502465 |
|---|---|
| LBN Legal business name | Prather, Michelle |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Aug 14th, 2025 - about last year |
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 | 1346502465 | NPPES |
| Illinois | Other | 019-028636 | IL LICENSE |
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