Hammack, Michael
Hammack, Michael is an individual health care provider with primary practice located at 3855 Avocado Blvd Suite 200, La Mesa CA 91941-7382. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hammack, Michael can be contacted via phone (619) 670-4018.Contact Information
Primary practice address
3855 Avocado Blvd Suite 200
La Mesa CA 91941-7382
Phone: (619) 670-4018
Fax: (619) 670-4039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | CA25533 | California |
Profile Details
| NPI number | 1841551322 |
|---|---|
| LBN Legal business name | Hammack, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | May 31st, 2012 - about 13 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 | 1841551322 | NPPES |
| California | Other | 953782397 | INTERNAL REVENUE SERVICE |
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