Rosendall, Alan Louis

Rosendall, Alan Louis is an individual health care provider with primary practice located at 4829 E Beltline Ave Ne , Grand Rapids MI 49525-9747. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rosendall, Alan Louis can be contacted via phone (616) 363-9277.

Contact Information

Primary practice address
4829 E Beltline Ave Ne Grand Rapids MI 49525-9747
Phone: (616) 363-9277
Fax: (616) 363-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14130 Michigan

Profile Details

NPI number 1235189325
LBN Legal business name Rosendall, Alan Louis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 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 1235189325 NPPES
Michigan MEDICAID 1217433410040
Michigan MEDICAID 1217433320039

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