Alt, Robert Michael
Alt, Robert Michael is an sole proprietor health care provider with primary practice located at 2314 N 2Nd St , Clinton IA 52732-2434. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Alt, Robert Michael can be contacted via phone (563) 242-1565.Contact Information
Primary practice address
2314 N 2Nd St
Clinton IA 52732-2434
Phone: (563) 242-1565
Fax: (563) 242-0095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 06659 | Iowa |
Profile Details
| NPI number | 1366458051 |
|---|---|
| LBN Legal business name | Alt, Robert Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1366458051 | NPPES |
| Illinois | MEDICAID | 1004602 | |
| Illinois | MEDICAID | 217893 |
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