Fontaninni, Micaela
Fontaninni, Micaela is an individual health care provider with primary practice located at 1006 A St , Greeley CO 80631-2021. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fontaninni, Micaela can be contacted via phone (970) 352-0048.Contact Information
Primary practice address
1006 A St
Greeley CO 80631-2021
Phone: (970) 352-0048
Fax: (970) 352-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2024892 | Colorado |
Profile Details
| NPI number | 1437678521 |
|---|---|
| LBN Legal business name | Fontaninni, Micaela |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2017 |
| Last updated | Sep 11th, 2017 - about 8 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 | 1437678521 | NPPES |
| Colorado | MEDICAID | 00000000 |
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