Rochlen, Gary S

Rochlen, Gary S is an individual health care provider with primary practice located at 30825 Ryan Rd , Warren MI 48092-1903. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rochlen, Gary S can be contacted via phone (586) 751-2900.

Contact Information

Primary practice address
30825 Ryan Rd Warren MI 48092-1903
Fax: (586) 751-5224
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9783 Michigan

Profile Details

NPI number 1801928932
LBN Legal business name Rochlen, Gary S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801928932 NPPES
Michigan MEDICAID 4017310

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