Schmitt, Michael Owen

Schmitt, Michael Owen is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Schmitt, Michael Owen can be contacted via phone (502) 774-8631.

Contact Information

Primary practice address
2215 Portland Ave Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 776-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3530 Kentucky

Profile Details

NPI number 1063418614
LBN Legal business name Schmitt, Michael Owen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
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 1063418614 NPPES
Kentucky MEDICAID 60002391
Kentucky Other 17337

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