Rice, Michael Shawn
Rice, Michael Shawn is an sole proprietor health care provider with primary practice located at 4710 Village Square Dr , Paducah KY 42001-7438. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Rice, Michael Shawn can be contacted via phone (270) 534-1991.Contact Information
Primary practice address
4710 Village Square Dr
Paducah KY 42001-7438
Phone: (270) 534-1991
Fax: (270) 534-1993
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 7417 | Kentucky |
Dental Providers / Dentist | 122300000X | 019.025255 | Illinois |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021.001967 | Illinois |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 670 | Kentucky |
Profile Details
NPI number | 1871711408 |
---|---|
LBN Legal business name | Rice, Michael Shawn |
Credentials | D.M.D., M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2007 |
Last updated | Jun 22nd, 2022 - about 2 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 | 1871711408 | NPPES |
Kentucky | MEDICAID | 60000544 |
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