Bellamy, Judith L

Bellamy, Judith L is an individual health care provider with primary practice located at 5433 W Fond Du Lac Ave , Milwaukee WI 53216-1382. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bellamy, Judith L can be contacted via phone (414) 445-6500.

Contact Information

Primary practice address
5433 W Fond Du Lac Ave Milwaukee WI 53216-1382
Fax: (414) 445-6618
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4456 Wisconsin

Profile Details

NPI number 1013558642
LBN Legal business name Bellamy, Judith L
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Oct 4th, 2019 - about 5 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 1013558642 NPPES
Wisconsin Other 4456-26 WISCONSIN LICENSE

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