Blasek, Michael Anthony
Blasek, Michael Anthony is an sole proprietor health care provider with primary practice located at 520 Limekiln Pike , Maple Glen PA 19002-2901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blasek, Michael Anthony can be contacted via phone (215) 643-0666.Contact Information
Primary practice address
520 Limekiln Pike
Maple Glen PA 19002-2901
Phone: (215) 643-0666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS-024133-L | Pennsylvania |
Profile Details
| NPI number | 1306971072 |
|---|---|
| LBN Legal business name | Blasek, Michael Anthony |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| 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 | 1306971072 | NPPES |
| Pennsylvania | Other | DS-024133-L | LICENSE NUMBER |
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