Gissal, John R
Gissal, John R is an individual health care provider with primary practice located at 3801 Glenkerry Ct , Portage MI 49024-0718. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gissal, John R can be contacted via phone (269) 323-1527.Contact Information
Primary practice address
3801 Glenkerry Ct
Portage MI 49024-0718
Phone: (269) 323-1527
Fax: (269) 323-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901012966 | Michigan |
Profile Details
| NPI number | 1780645804 |
|---|---|
| LBN Legal business name | Gissal, John R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jun 8th, 2010 - about 15 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 | 1780645804 | NPPES |
| Michigan | MEDICAID | 1644808 | |
| Michigan | MEDICAID | 2990946 |
Popular Providers
-
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Williams, Timothy V
3801 Glenkerry Ct , Portage MI 49024-0718 -
Harrison, Michael Jeffrey
3801 Glenkerry Ct Ste 2 , Portage MI 49024-0711 -
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Wilson, David M.
3801 Glenkerry Ct Ste 2 , Portage MI 49024-0711 -
Peacock, Edgar Harold
2750 Laurel St Ste 202, Columbia SC 29204-2024