Mabborang, Michael John
Mabborang, Michael John is an sole proprietor health care provider with primary practice located at 10 S Larkin Ave , Joliet IL 60436-1243. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mabborang, Michael John can be contacted via phone (815) 773-6200.Contact Information
Primary practice address
10 S Larkin Ave
Joliet IL 60436-1243
Phone: (815) 773-6200
Fax: (815) 773-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1053517417 |
|---|---|
| LBN Legal business name | Mabborang, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2007 |
| 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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