Egan, Michael Robert

Egan, Michael Robert is an sole proprietor health care provider with primary practice located at 84 Glastonbury Blvd , Glastonbury CT 06033-4468. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Egan, Michael Robert can be contacted via phone (860) 657-5522.

Contact Information

Primary practice address
84 Glastonbury Blvd Glastonbury CT 06033-4468
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4877 Connecticut

Profile Details

NPI number 1790801561
LBN Legal business name Egan, Michael Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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