Sagan, Mitchell Andrew
Sagan, Mitchell Andrew is an individual health care provider with primary practice located at 420 Elaine St , Weirton WV 26062. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sagan, Mitchell Andrew can be contacted via phone (304) 723-2021.Contact Information
Primary practice address
420 Elaine St
Weirton WV 26062
Phone: (304) 723-2021
Fax: (301) 723-2030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2722 | West Virginia |
Profile Details
| NPI number | 1417051400 |
|---|---|
| LBN Legal business name | Sagan, Mitchell Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 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 | 1417051400 | NPPES |
| West Virginia | MEDICAID | 0132506000 |
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