Graham Michaux, Kerri-Ann
Graham Michaux, Kerri-Ann is an sole proprietor health care provider with primary practice located at 802 Sterthaus Dr Ste A , Ormond Beach FL 32174-5132. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Graham Michaux, Kerri-Ann can be contacted via phone (386) 868-4483.Contact Information
Primary practice address
802 Sterthaus Dr Ste A
Ormond Beach FL 32174-5132
Phone: (386) 868-4483
Fax: (321) 445-5364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN16350 | Florida |
Profile Details
| NPI number | 1821062019 |
|---|---|
| LBN Legal business name | Graham Michaux, Kerri-Ann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 23rd, 2022 - about 3 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 | 1821062019 | NPPES |
| Florida | MEDICAID | 075554100 |
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