Paul, William Edward
Paul, William Edward is an sole proprietor health care provider with primary practice located at 926 East Lasalle Avenue , South Bend IN 46617-2887. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Paul, William Edward can be contacted via phone (574) 233-7700.Contact Information
Primary practice address
926 East Lasalle Avenue
South Bend IN 46617-2887
Phone: (574) 233-7700
Fax: (574) 233-8264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12007373A | Indiana |
Profile Details
| NPI number | 1346289857 |
|---|---|
| LBN Legal business name | Paul, William Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 13th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346289857 | NPPES |
| Indiana | MEDICAID | 100222380A |
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