Rockwell, Paul Bertron

Rockwell, Paul Bertron is an individual health care provider with primary practice located at 3351 Claystone Se Suite G 17, Grand Rapids MI 49546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rockwell, Paul Bertron can be contacted via phone (616) 949-9060.

Contact Information

Primary practice address
3351 Claystone Se Suite G 17 Grand Rapids MI 49546
Phone: (616) 949-9060
Fax: (616) 949-5680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901008614 Michigan

Profile Details

NPI number 1669415980
LBN Legal business name Rockwell, Paul Bertron
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669415980 NPPES
Michigan Other J086140 BLUE CROSS BS

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