Gage, Michael Lawrence
Gage, Michael Lawrence is an individual health care provider with primary practice located at 2520 N Alder St , Tacoma WA 98406-6632. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gage, Michael Lawrence can be contacted via phone (253) 759-5414.Contact Information
Primary practice address
2520 N Alder St
Tacoma WA 98406-6632
Phone: (253) 759-5414
Fax: (253) 756-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4344 | Washington |
Profile Details
| NPI number | 1912907064 |
|---|---|
| LBN Legal business name | Gage, Michael Lawrence |
| Credentials | DDS PS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Oct 27th, 2008 - 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 | 1912907064 | NPPES |
| Other | 561035 | UNITED CONCORDIA INS. | |
| MEDICAID | 5383609 | UNITED CONCORDIA INS. |
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