Stines, Anthony Wayne
Stines, Anthony Wayne is an individual health care provider with primary practice located at 3577 Fort St , Lincoln Park MI 48146-4114. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stines, Anthony Wayne can be contacted via phone (313) 388-0103.Contact Information
Primary practice address
3577 Fort St
Lincoln Park MI 48146-4114
Phone: (313) 388-0103
Fax: (313) 388-3219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11350 | Michigan |
Profile Details
| NPI number | 1124166459 |
|---|---|
| LBN Legal business name | Stines, Anthony Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124166459 | NPPES |
| Michigan | MEDICAID | 4041084 |
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