Thomas, Michael Steven

Thomas, Michael Steven is an sole proprietor health care provider with primary practice located at 4135 Wilson Ave Sw , Cedar Rapids IA 52404-6342. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thomas, Michael Steven can be contacted via phone (319) 396-0700.

Contact Information

Primary practice address
4135 Wilson Ave Sw Cedar Rapids IA 52404-6342
Fax: (319) 396-4410
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6700 Iowa

Profile Details

NPI number 1407987266
LBN Legal business name Thomas, Michael Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1407987266 NPPES
Iowa MEDICAID 0210450

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