Behm, Anita Lynn
Behm, Anita Lynn is an individual health care provider with primary practice located at 160 S Macy St Health Department, Fond Du Lac WI 54935-4241. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Behm, Anita Lynn can be contacted via phone (920) 929-3085.Contact Information
Primary practice address
160 S Macy St Health Department
Fond Du Lac WI 54935-4241
Phone: (920) 929-3085
Fax: (920) 929-3102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 5413-16 | Wisconsin |
Profile Details
| NPI number | 1073821278 |
|---|---|
| LBN Legal business name | Behm, Anita Lynn |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2010 |
| Last updated | Sep 22nd, 2010 - about 15 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 | 1073821278 | NPPES |
| Wisconsin | MEDICAID | 38397700 |
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