Schutze, Jonathan Michael

Schutze, Jonathan Michael is an individual health care provider with primary practice located at 453 Dixon Rd Suite 3, Queensbury NY 12804-1964. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Schutze, Jonathan Michael can be contacted via phone (518) 793-3553.

Contact Information

Primary practice address
453 Dixon Rd Suite 3 Queensbury NY 12804-1964
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048231-1 New York

Profile Details

NPI number 1871553719
LBN Legal business name Schutze, Jonathan Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 14th, 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 1871553719 NPPES
New York MEDICAID 02698988

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