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
Fax: (734) 242-0820
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932116134 NPPES
Michigan Other 13292 DENTAL LICENSE

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