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
Phone: (518) 793-3553
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871553719 | NPPES |
New York | MEDICAID | 02698988 |
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