Hazuda, Michael
Hazuda, Michael is an sole proprietor health care provider with primary practice located at 5301 Limestone Rd Suite #212, Wilmington DE 19808-1250. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hazuda, Michael can be contacted via phone (302) 239-8230.Contact Information
Primary practice address
5301 Limestone Rd Suite #212
Wilmington DE 19808-1250
Phone: (302) 239-8230
Fax: (302) 239-8249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 915 | Delaware |
Profile Details
| NPI number | 1629124771 |
|---|---|
| LBN Legal business name | Hazuda, Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1629124771 | NPPES |
| Delaware | MEDICAID | 0000884908 |
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