Belisle, Anthony Ray

Belisle, Anthony Ray is an sole proprietor health care provider with primary practice located at 965 S 1St St , Coos Bay OR 97420-1401. He recently has 2 registered licenses in different health care specialties including Dental Providers / Denturist, Dental Providers / Dental Laboratory Technician. Dental Providers / Denturist is his primary health care specialty. Belisle, Anthony Ray can be contacted via phone (541) 267-7278.

Contact Information

Primary practice address
965 S 1St St Coos Bay OR 97420-1401
Phone: (541) 267-7278
Fax: (541) 269-4613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DT-DO-1003340 Oregon
Dental Providers / Dental Laboratory Technician 126900000X

Profile Details

NPI number 1740413012
LBN Legal business name Belisle, Anthony Ray
Credentials L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2009
Last updated Sep 2nd, 2009 - about 16 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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