Dack, Elisa
Dack, Elisa is an sole proprietor health care provider with primary practice located at 630 Progress St , West Branch MI 48661-8603. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dack, Elisa can be contacted via phone (989) 345-5020.Contact Information
Primary practice address
630 Progress St
West Branch MI 48661-8603
Phone: (989) 345-5020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902012908 | Michigan |
Profile Details
| NPI number | 1508579384 |
|---|---|
| LBN Legal business name | Dack, Elisa |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2022 |
| Last updated | Dec 27th, 2022 - 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.
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