Stern, Michael
Stern, Michael is an individual health care provider with primary practice located at 1160 Alpine Ln Suite 1D, Jackson WY 83001. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stern, Michael can be contacted via phone (307) 739-8611.Contact Information
Primary practice address
1160 Alpine Ln Suite 1D
Jackson WY 83001
Phone: (307) 739-8611
Fax: (307) 739-8613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1037 | Wyoming |
Profile Details
| NPI number | 1083852149 |
|---|---|
| LBN Legal business name | Stern, Michael |
| Credentials | D.M.D, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2009 |
| Last updated | Jan 28th, 2009 - about 15 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 | 1083852149 | NPPES |
| Wyoming | MEDICAID | 119386400 |
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