Purcell, Michael J
Purcell, Michael J is an sole proprietor health care provider with primary practice located at 748 Goodpasture Island Rd , Eugene OR 97401-1751. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Purcell, Michael J can be contacted via phone (541) 686-2446.Contact Information
Primary practice address
748 Goodpasture Island Rd
Eugene OR 97401-1751
Phone: (541) 686-2446
Fax: (541) 686-3055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D10524 | Oregon |
| Dental Providers / Pediatric Dentistry | 1223P0221X | CO7055 | Colorado |
Profile Details
| NPI number | 1427154418 |
|---|---|
| LBN Legal business name | Purcell, Michael J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427154418 | NPPES |
| Oregon | MEDICAID | 500711437 | |
| Oregon | MEDICAID | 0207555 |
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