Phares, Heather Louise
Phares, Heather Louise is an sole proprietor health care provider with primary practice located at 4711 First Street , New Era MI 49446. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phares, Heather Louise can be contacted via phone (231) 861-5905.Contact Information
Primary practice address
4711 First Street
New Era MI 49446
Phone: (231) 861-5905
Fax: (231) 861-4764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 017662 | Michigan |
Profile Details
| NPI number | 1942397757 |
|---|---|
| LBN Legal business name | Phares, Heather Louise |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942397757 | NPPES |
| Michigan | Other | 1810072 | UNITED CONCORDIA |
| Michigan | Other | D176620 | UNITED CONCORDIA |
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