Wahl, Michael Ernest

Wahl, Michael Ernest is an individual health care provider with primary practice located at 1104 W Colorado Ave , Colorado Springs CO 80904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wahl, Michael Ernest can be contacted via phone (719) 633-8766.

Contact Information

Primary practice address
1104 W Colorado Ave Colorado Springs CO 80904
Phone: (719) 633-8766
Fax: (719) 635-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 105967 Colorado

Profile Details

NPI number 1770584716
LBN Legal business name Wahl, Michael Ernest
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 7th, 2023 - about last year

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 1770584716 NPPES
Colorado MEDICAID 02105963

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