Austermann, Fredrick C
Austermann, Fredrick C is an sole proprietor health care provider with primary practice located at 6217 S Packard Ave , Cudahy WI 53110-3096. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Austermann, Fredrick C can be contacted via phone (414) 764-5550.Contact Information
Primary practice address
6217 S Packard Ave
Cudahy WI 53110-3096
Phone: (414) 764-5550
Fax: (414) 764-8175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5000496 | Wisconsin |
Profile Details
| NPI number | 1093789331 |
|---|---|
| LBN Legal business name | Austermann, Fredrick C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Dec 6th, 2011 - about 14 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 | 1093789331 | NPPES |
| Wisconsin | MEDICAID | 33535800 |
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