Shader, Jack Carl
Shader, Jack Carl is an sole proprietor health care provider with primary practice located at 6300 Sashabaw Rd , Clarkston MI 48346-2269. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shader, Jack Carl can be contacted via phone (248) 625-9444.Contact Information
Primary practice address
6300 Sashabaw Rd
Clarkston MI 48346-2269
Phone: (248) 625-9444
Fax: (248) 625-4813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901011126 | Michigan |
Profile Details
| NPI number | 1467535203 |
|---|---|
| LBN Legal business name | Shader, Jack Carl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| 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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