Herman, Audra Zackay

Herman, Audra Zackay is an sole proprietor health care provider with primary practice located at 25520 Little Mack Ave. , St. Clair Shores MI 48081. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Herman, Audra Zackay can be contacted via phone (586) 771-5888.

Contact Information

Primary practice address
25520 Little Mack Ave. St. Clair Shores MI 48081
Fax: (586) 777-7319
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901019371 Michigan

Profile Details

NPI number 1619094224
LBN Legal business name Herman, Audra Zackay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jun 12th, 2015 - about 9 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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