Eickman, Michael Dale
Eickman, Michael Dale is an sole proprietor health care provider with primary practice located at 310 Red Lake Blvd , Thief River Falls MN 56701-2133. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Eickman, Michael Dale can be contacted via phone (218) 681-2545.Contact Information
Primary practice address
310 Red Lake Blvd
Thief River Falls MN 56701-2133
Phone: (218) 681-2545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D12920 | Minnesota |
| Dental Providers / General Practice | 1223G0001X | D12920 | Minnesota |
Profile Details
| NPI number | 1639463706 |
|---|---|
| LBN Legal business name | Eickman, Michael Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jun 6th, 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.
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