Hablitzel, Michael Derrill
Hablitzel, Michael Derrill is an individual health care provider with primary practice located at 304 1/2 Madison St , Port Clinton OH 43452-1921. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hablitzel, Michael Derrill can be contacted via phone (419) 734-2175.Contact Information
Primary practice address
304 1/2 Madison St
Port Clinton OH 43452-1921
Phone: (419) 734-2175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | OH15756 | Ohio |
Profile Details
| NPI number | 1194997627 |
|---|---|
| LBN Legal business name | Hablitzel, Michael Derrill |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Mar 26th, 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 | 1194997627 | NPPES |
| Ohio | MEDICAID | 0712732 |
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