Holmberg, Michael
Holmberg, Michael is an sole proprietor health care provider with primary practice located at 6075 E Parkway Dr Ste 160 , Commerce City CO 80022-5413. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Holmberg, Michael can be contacted via phone (720) 795-7077.Contact Information
Primary practice address
6075 E Parkway Dr Ste 160
Commerce City CO 80022-5413
Phone: (720) 795-7077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 61260 | Kansas |
Dental Providers / Dentist | 122300000X | 202562 | Colorado |
Profile Details
NPI number | 1184007221 |
---|---|
LBN Legal business name | Holmberg, Michael |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2015 |
Last updated | Jun 5th, 2022 - about 3 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 | 1184007221 | NPPES |
Colorado | MEDICAID | 1184007221 |
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