Kofman, Mikaela
Kofman, Mikaela is an sole proprietor health care provider with primary practice located at 4201 Saint Antoine St , Detroit MI 48201-2153. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Kofman, Mikaela can be contacted via phone (313) 745-4697.Contact Information
Primary practice address
4201 Saint Antoine St
Detroit MI 48201-2153
Phone: (313) 745-4697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1741998 | Michigan |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901600522 | Michigan |
Profile Details
| NPI number | 1942861612 |
|---|---|
| LBN Legal business name | Kofman, Mikaela |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Aug 23rd, 2021 - 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.
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