Bruzek, Matthew J
Bruzek, Matthew J is an sole proprietor health care provider with primary practice located at 201 N Riverside Ave Unit C3C4 , Saint Clair MI 48079-5491. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bruzek, Matthew J can be contacted via phone (810) 328-5225.Contact Information
Primary practice address
201 N Riverside Ave Unit C3C4
Saint Clair MI 48079-5491
Phone: (810) 328-5225
Fax: (810) 740-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901020605 | Michigan |
Profile Details
| NPI number | 1659414357 |
|---|---|
| LBN Legal business name | Bruzek, Matthew J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Feb 15th, 2021 - 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 | 1659414357 | NPPES |
| Michigan | Other | 2901020605 | STATE LICENSE NUMBER |
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