Gasko, Michael Bernard

Gasko, Michael Bernard is an sole proprietor health care provider with primary practice located at 13432 Mckinley Hwy Ste 5 , Mishawaka IN 46545-7447. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gasko, Michael Bernard can be contacted via phone (574) 255-0035.

Contact Information

Primary practice address
13432 Mckinley Hwy Ste 5 Mishawaka IN 46545-7447
Fax: (574) 255-7786
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007239A Indiana

Profile Details

NPI number 1407921927
LBN Legal business name Gasko, Michael Bernard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Apr 19th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407921927 NPPES
Indiana MEDICAID 200106530

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