Balog, Gregory Alan
Balog, Gregory Alan is an sole proprietor health care provider with primary practice located at 1049 N Macomb St , Monroe MI 48162-3126. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Balog, Gregory Alan can be contacted via phone (734) 242-4334.Contact Information
Primary practice address
1049 N Macomb St
Monroe MI 48162-3126
Phone: (734) 242-4334
Fax: (734) 242-0820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 13292 | Michigan |
Profile Details
NPI number | 1932116134 |
---|---|
LBN Legal business name | Balog, Gregory Alan |
Credentials | |
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 | 1932116134 | NPPES |
Michigan | Other | 13292 | DENTAL LICENSE |
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