Louie, Irene
Louie, Irene is an individual health care provider with primary practice located at 505 South Dr Ste 5 , Mountain View CA 94040-4210. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Louie, Irene can be contacted via phone (650) 964-7866.Contact Information
Primary practice address
505 South Dr Ste 5
Mountain View CA 94040-4210
Phone: (650) 964-7866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Periodontics | 1223P0300X | 104714 | California |
Profile Details
| NPI number | 1447746581 |
|---|---|
| LBN Legal business name | Louie, Irene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Aug 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447746581 | NPPES |
| California | MEDICAID | 91066093E44051 |
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