Mcleod, Paul Michael

Mcleod, Paul Michael is an sole proprietor health care provider with primary practice located at 919 E Jefferson Blvd Ste Ll02 , South Bend IN 46617-3119. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcleod, Paul Michael can be contacted via phone (574) 233-7331.

Contact Information

Primary practice address
919 E Jefferson Blvd Ste Ll02 South Bend IN 46617-3119
Fax: (574) 233-3434
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009809A Indiana
Dental Providers / General Practice 1223G0001X 1223G0001X Indiana

Profile Details

NPI number 1962670208
LBN Legal business name Mcleod, Paul Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962670208 NPPES
Indiana MEDICAID 200091260A

Popular Providers