Miceli, John Edward
Miceli, John Edward is an sole proprietor health care provider with primary practice located at 9984 Martin Ave , Lake City PA 16423-1527. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miceli, John Edward can be contacted via phone (814) 774-5242.Contact Information
Primary practice address
9984 Martin Ave
Lake City PA 16423-1527
Phone: (814) 774-5242
Fax: (814) 774-5242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS-030548-L | Pennsylvania |
| Dental Providers / General Practice | 1223G0001X | 12971 | Maryland |
| Dental Providers / General Practice | 1223G0001X | 30.021870 | Ohio |
Profile Details
| NPI number | 1982780862 |
|---|---|
| LBN Legal business name | Miceli, John Edward |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| 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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