Kearney, John Michael

Kearney, John Michael is an individual health care provider with primary practice located at 610 Yale Pl , Canon City CO 81212-4611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kearney, John Michael can be contacted via phone (719) 275-4474.

Contact Information

Primary practice address
610 Yale Pl Canon City CO 81212-4611
Fax: (719) 275-1010
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X HD1-00642 Colorado

Profile Details

NPI number 1447217047
LBN Legal business name Kearney, John Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447217047 NPPES
Other 713135 UNITED CONCORDIA INSURANC

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