Lalick, Amy R.

Lalick, Amy R. is an individual health care provider with primary practice located at 285 James St , Holland MI 49424-1849. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lalick, Amy R. can be contacted via phone (616) 399-0200.

Contact Information

Primary practice address
285 James St Holland MI 49424-1849
Phone: (616) 399-0200
Fax: (616) 738-9127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901018065 Michigan

Profile Details

NPI number 1497798292
LBN Legal business name Lalick, Amy R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 16th, 2015 - about 9 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 1497798292 NPPES
Michigan MEDICAID 4535594
Michigan Other BC00473

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