Carral, Luis
Carral, Luis is an individual health care provider with primary practice located at 800 M 139 , Benton Harbor MI 49022-3881. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carral, Luis can be contacted via phone (855) 869-6900.Contact Information
Primary practice address
800 M 139
Benton Harbor MI 49022-3881
Phone: (855) 869-6900
Fax: (269) 427-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901022828 | Michigan |
Profile Details
| NPI number | 1851876205 |
|---|---|
| LBN Legal business name | Carral, Luis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2018 |
| Last updated | Oct 3rd, 2018 - about 6 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 | 1851876205 | NPPES |
| Michigan | MEDICAID | PENDING |
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