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
Fax: (313) 388-3219
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124166459 NPPES
Michigan MEDICAID 4041084

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