Todd, Michael Sean
Todd, Michael Sean is an individual health care provider with primary practice located at 1500 Vandiver Suite 104, Columbia MO 65202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Todd, Michael Sean can be contacted via phone (573) 814-1694.Contact Information
Primary practice address
1500 Vandiver Suite 104
Columbia MO 65202
Phone: (573) 814-1694
Fax: (573) 814-2845
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 015815 | Missouri |
Profile Details
NPI number | 1437151750 |
---|---|
LBN Legal business name | Todd, Michael Sean |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Sep 30th, 2008 - 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 | 1437151750 | NPPES |
Missouri | Other | 431734574 | COMPANY TAX ID |
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