Fine, Gary M
Fine, Gary M is an individual health care provider with primary practice located at 825 Nicollet Mall , Minneapolis MN 55402-2606. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fine, Gary M can be contacted via phone (612) 332-1336.Contact Information
Primary practice address
825 Nicollet Mall
Minneapolis MN 55402-2606
Phone: (612) 332-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8158 | Minnesota |
Profile Details
| NPI number | 1023007713 |
|---|---|
| LBN Legal business name | Fine, Gary M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023007713 | NPPES |
| Minnesota | Other | 008653 | DORAL |
| Minnesota | Other | 008128 | DORAL |
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