Baribeau, Douglas Stephen
Baribeau, Douglas Stephen is an sole proprietor health care provider with primary practice located at 1026 Superior St , Port Huron MI 48060-3748. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Baribeau, Douglas Stephen can be contacted via phone (810) 987-5040.Contact Information
Primary practice address
1026 Superior St
Port Huron MI 48060-3748
Phone: (810) 987-5040
Fax: (810) 987-9499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2901010283 | Michigan |
Profile Details
| NPI number | 1346299658 |
|---|---|
| LBN Legal business name | Baribeau, Douglas Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Jul 26th, 2022 - about 3 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 | 1346299658 | NPPES |
| Michigan | MEDICAID | 4032586 |
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