Doucet, Michael John
Doucet, Michael John is an sole proprietor health care provider with primary practice located at 419 San Pablo Ave , Albany CA 94706. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Doucet, Michael John can be contacted via phone (510) 526-8000.Contact Information
Primary practice address
419 San Pablo Ave
Albany CA 94706
Phone: (510) 526-8000
Fax: (510) 526-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 35099 | California |
Profile Details
| NPI number | 1760573307 |
|---|---|
| LBN Legal business name | Doucet, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jan 7th, 2011 - 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 | 1760573307 | NPPES |
| California | MEDICAID | B35099-01 |
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