Harchick, Mary Ann

Harchick, Mary Ann is an sole proprietor health care provider with primary practice located at 4204 Pontiac Lake Rd , Waterford MI 48328. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Harchick, Mary Ann can be contacted via phone (248) 682-2050.

Contact Information

Primary practice address
4204 Pontiac Lake Rd Waterford MI 48328
Fax: (248) 618-3742
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13752 Michigan

Profile Details

NPI number 1316139637
LBN Legal business name Harchick, Mary Ann
Credentials DDSPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Sep 29th, 2020 - 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 1316139637 NPPES
Michigan MEDICAID 12 3053026

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