Valla, Michael
Valla, Michael is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Valla, Michael can be contacted via phone (518) 926-5908.Contact Information
Primary practice address
100 Park St
Glens Falls NY 12801-4413
Phone: (518) 926-5908
Fax: (518) 926-5909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 040406 | New York |
Profile Details
| NPI number | 1629067384 |
|---|---|
| LBN Legal business name | Valla, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Apr 9th, 2009 - about 17 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 | 1629067384 | NPPES |
| Other | 000491895001 | BLUE SHIELD NENY |
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