Siy, Michael Anthony

Siy, Michael Anthony is an individual health care provider with primary practice located at Bldg 6905 Harris Ave Mcbh Kaneohe Bay, Kailua HI 96863-3037. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Siy, Michael Anthony can be contacted via phone (559) 313-5858.

Contact Information

Primary practice address
Bldg 6905 Harris Ave Mcbh Kaneohe Bay Kailua HI 96863-3037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DDS101595 California

Profile Details

NPI number 1255855904
LBN Legal business name Siy, Michael Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2017
Last updated Nov 6th, 2020 - about 4 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 1255855904 NPPES
California MEDICAID VAD0000

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