Michelson, Joel C

Michelson, Joel C is an individual health care provider with primary practice located at 3632 10Th Ln Nw , Rochester MN 55901-6917. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Michelson, Joel C can be contacted via phone (507) 281-5000.

Contact Information

Primary practice address
3632 10Th Ln Nw Rochester MN 55901-6917
Fax: (507) 281-5001
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D10189 Minnesota

Profile Details

NPI number 1649215328
LBN Legal business name Michelson, Joel C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649215328 NPPES
Minnesota Other 1008933 PREFERRED ONE
Minnesota Other 35474MI PREFERRED ONE
Minnesota Other 0011096 PREFERRED ONE
Minnesota Other 118047 PREFERRED ONE

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