Israel, Michael
Israel, Michael is an sole proprietor health care provider with primary practice located at 26 Lakeside Blvd E , Waterbury CT 06708-2913. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Israel, Michael can be contacted via phone (203) 754-4123.Contact Information
Primary practice address
26 Lakeside Blvd E
Waterbury CT 06708-2913
Phone: (203) 754-4123
Fax: (203) 754-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 5218 | Connecticut |
Profile Details
| NPI number | 1710008842 |
|---|---|
| LBN Legal business name | Israel, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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