Degould, Michael David
Degould, Michael David is an sole proprietor health care provider with primary practice located at 2835 Mcfarland Rd Suite C, Rockford IL 61107-6819. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Degould, Michael David can be contacted via phone (815) 654-0039.Contact Information
Primary practice address
2835 Mcfarland Rd Suite C
Rockford IL 61107-6819
Phone: (815) 654-0039
Fax: (815) 654-0650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019019722 | Illinois |
Profile Details
| NPI number | 1245673441 |
|---|---|
| LBN Legal business name | Degould, Michael David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2013 |
| Last updated | Sep 10th, 2014 - about 10 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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