Baeder, William Frederick Victor

Baeder, William Frederick Victor is an individual health care provider with primary practice located at 11320 Q St , Omaha NE 68137-3679. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baeder, William Frederick Victor can be contacted via phone (402) 339-6078.

Contact Information

Primary practice address
11320 Q St Omaha NE 68137-3679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3884 Nebraska

Profile Details

NPI number 1477514313
LBN Legal business name Baeder, William Frederick Victor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
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 1477514313 NPPES
Nebraska MEDICAID 4705367600

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