Paulus, Marcus L

Paulus, Marcus L is an individual health care provider with primary practice located at 8292 E 12 Mile Rd , Warren MI 48093-2737. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Paulus, Marcus L can be contacted via phone (586) 393-1516.

Contact Information

Primary practice address
8292 E 12 Mile Rd Warren MI 48093-2737
Phone: (586) 393-1516
Fax: (586) 393-1518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5140 Arizona
Dental Providers / Dentist 122300000X 2901017341 Michigan

Profile Details

NPI number 1073700852
LBN Legal business name Paulus, Marcus L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 22nd, 2021 - about 3 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 1073700852 NPPES
Michigan MEDICAID 5387647

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