Mickens, Prenard Rainey
Mickens, Prenard Rainey is an sole proprietor health care provider with primary practice located at 1416 Yanceyville St Suite 2, Greensboro NC 27405-6955. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mickens, Prenard Rainey can be contacted via phone (917) 805-8509.Contact Information
Primary practice address
1416 Yanceyville St Suite 2
Greensboro NC 27405-6955
Phone: (917) 805-8509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 7637 | North Carolina |
Profile Details
| NPI number | 1942499207 |
|---|---|
| LBN Legal business name | Mickens, Prenard Rainey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Oct 23rd, 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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