Bobo, Michael Lee
Bobo, Michael Lee is an sole proprietor health care provider with primary practice located at 1109 Poplar Street , Murray KY 42071. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Bobo, Michael Lee can be contacted via phone (270) 759-4063.Contact Information
Primary practice address
1109 Poplar Street
Murray KY 42071
Phone: (270) 759-4063
Fax: (270) 759-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7465 DENTAL | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 34759 | Kentucky |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 34759 | Kentucky |
Profile Details
| NPI number | 1417031436 |
|---|---|
| LBN Legal business name | Bobo, Michael Lee |
| Credentials | DDS MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 12th, 2012 - about 13 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 | 1417031436 | NPPES |
| Kentucky | MEDICAID | 60000163 | |
| Kentucky | MEDICAID | 64011711 |
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