Ackerman, Regan Wiesemann

Ackerman, Regan Wiesemann is an sole proprietor health care provider with primary practice located at 7600 Outer Loop , Louisville KY 40228-1729. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ackerman, Regan Wiesemann can be contacted via phone (502) 231-9970.

Contact Information

Primary practice address
7600 Outer Loop Louisville KY 40228-1729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8470 Kentucky

Profile Details

NPI number 1871798173
LBN Legal business name Ackerman, Regan Wiesemann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jan 29th, 2012 - about 13 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 1871798173 NPPES
Kentucky Other 208018897 TAX ID FOR MORTENSON FAMILY DENTAL (EMPLOYMENT ENDED 1/31/12)
Kentucky Other 454214024 TAX ID FOR MORTENSON FAMILY DENTAL (EMPLOYMENT ENDED 1/31/12)

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