Baggott, William Robert
Baggott, William Robert is an sole proprietor health care provider with primary practice located at 3365 S 103 St Suite 220, Greenfield WI 53227. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baggott, William Robert can be contacted via phone (414) 543-9911.Contact Information
Primary practice address
3365 S 103 St Suite 220
Greenfield WI 53227
Phone: (414) 543-9911
Fax: (414) 543-9911
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2737 | Wisconsin |
Profile Details
NPI number | 1851486484 |
---|---|
LBN Legal business name | Baggott, William Robert |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jun 1st, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851486484 | NPPES |
Wisconsin | MEDICAID | 33429300 |
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