Stave, Mitchell Louis
Stave, Mitchell Louis is an sole proprietor health care provider with primary practice located at 374 Harrison Ave , Lodi NJ 07644-1121. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stave, Mitchell Louis can be contacted via phone (973) 340-9047.Contact Information
Primary practice address
374 Harrison Ave
Lodi NJ 07644-1121
Phone: (973) 340-9047
Fax: (973) 340-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI14674 | New Jersey |
Profile Details
| NPI number | 1770664336 |
|---|---|
| LBN Legal business name | Stave, Mitchell Louis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 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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