Razzoog, Michael E
Razzoog, Michael E is an individual health care provider with primary practice located at 1011 N University Ave , Ann Arbor MI 48109-1078. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Dentist is his primary health care specialty. Razzoog, Michael E can be contacted via phone (734) 647-4177.Contact Information
Primary practice address
1011 N University Ave
Ann Arbor MI 48109-1078
Phone: (734) 647-4177
Fax: (734) 763-3453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901010473 | Michigan |
| Dental Providers / Prosthodontics | 1223P0700X | 2901010473 | Michigan |
Profile Details
| NPI number | 1023132172 |
|---|---|
| LBN Legal business name | Razzoog, Michael E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| 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 | 1023132172 | NPPES |
| Michigan | Other | 1958160410 | BCBS OF MI MED SURGICAL |
| Michigan | Other | D104730 | BCBS OF MI MED SURGICAL |
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