Primack, Michael Lee
Primack, Michael Lee is an individual health care provider with primary practice located at 860 Waveland Rd , Lake Forest IL 60045-3944. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Primack, Michael Lee can be contacted via phone (847) 234-2416.Contact Information
Primary practice address
860 Waveland Rd
Lake Forest IL 60045-3944
Phone: (847) 234-2416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-013904 | Illinois |
Profile Details
| NPI number | 1710095542 |
|---|---|
| LBN Legal business name | Primack, Michael Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Feb 5th, 2009 - about 15 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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