Jack, Michael Alan
Jack, Michael Alan is an sole proprietor health care provider with primary practice located at 822 Portage Trail , Cuyahoga Falls OH 44221. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jack, Michael Alan can be contacted via phone (330) 929-2853.Contact Information
Primary practice address
822 Portage Trail
Cuyahoga Falls OH 44221
Phone: (330) 929-2853
Fax: (330) 929-3821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 17357 | Ohio |
Profile Details
| NPI number | 1538242482 |
|---|---|
| LBN Legal business name | Jack, Michael Alan |
| Credentials | DDS ,MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| 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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