Altenburg, Gary Michael
Altenburg, Gary Michael is an sole proprietor health care provider with primary practice located at 450 W State St Ste 115 , Eagle ID 83616-7055. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Altenburg, Gary Michael can be contacted via phone (208) 286-4200.Contact Information
Primary practice address
450 W State St Ste 115
Eagle ID 83616-7055
Phone: (208) 286-4200
Fax: (208) 286-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D-5078-EN | Idaho |
| Dental Providers / Endodontics | 1223E0200X | 46454 | California |
Profile Details
| NPI number | 1356558852 |
|---|---|
| LBN Legal business name | Altenburg, Gary Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 7th, 2022 - about 2 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.
Popular Providers
-
Herbst, Joseph A
14333 Laurel Bowie Rd Ste 311, Laurel MD 20708-1183 -
Browning, David Francis
7117 Chastain Dr Ne , Atlanta GA 30342-4153 -
Bryant, Kevin P
1001 Carter St Ste H, Chattanooga TN 37402-5014 -
Smyth, Robert Neil
4400 Jenifer St Nw Ste 335, Washington DC 20015-2086 -
Lipsey, Marty Richard
3025 Mchenry Ave Ste N, Modesto CA 95350-1449 -
Doughty, Michael B
1217 S 31St St , Temple TX 76504-6703 -
Chiat, Leonard A
978 Route 45 Ste 104, Pomona NY 10970-3565 -
Perinpanayagam, Hiran
219 Bryant St , Buffalo NY 14222-2006