Ban, Michael Kim

Ban, Michael Kim is an individual health care provider with primary practice located at 450 Adams St , Rochester PA 15074-1911. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ban, Michael Kim can be contacted via phone (724) 774-2220.

Contact Information

Primary practice address
450 Adams St Rochester PA 15074-1911
Phone: (724) 774-2220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS022496L Pennsylvania

Profile Details

NPI number 1962482562
LBN Legal business name Ban, Michael Kim
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 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 1962482562 NPPES
Pennsylvania MEDICAID 0008772510001

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