Su, John Michael
Su, John Michael is an sole proprietor health care provider with primary practice located at 6655 Greatwood Pkwy , Sugar Land TX 77479-6314. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Su, John Michael can be contacted via phone (281) 341-5116.Contact Information
Primary practice address
6655 Greatwood Pkwy
Sugar Land TX 77479-6314
Phone: (281) 341-5116
Fax: (281) 341-5126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19092 | Texas |
Profile Details
| NPI number | 1548436322 |
|---|---|
| LBN Legal business name | Su, John Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2008 |
| Last updated | Jul 29th, 2013 - about 12 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 | 1548436322 | NPPES |
| Texas | MEDICAID | 009882401 |
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