Rea, Michael E

Rea, Michael E is an individual health care provider with primary practice located at 750 S Potomac St , Waynesboro PA 17268-2198. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rea, Michael E can be contacted via phone (717) 762-1515.

Contact Information

Primary practice address
750 S Potomac St Waynesboro PA 17268-2198
Phone: (717) 762-1515
Fax: (717) 762-6103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS028207L Pennsylvania

Profile Details

NPI number 1437226628
LBN Legal business name Rea, Michael E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 9th, 2007 - about 18 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 1437226628 NPPES
Pennsylvania MEDICAID 0019648070001

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