Benish, Jaclyn
Benish, Jaclyn is an individual health care provider with primary practice located at 311 E Tyranena Park Rd , Lake Mills WI 53551-9681. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Benish, Jaclyn can be contacted via phone (920) 648-2331.Contact Information
Primary practice address
311 E Tyranena Park Rd
Lake Mills WI 53551-9681
Phone: (920) 648-2331
Fax: (920) 648-3437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5825 | Wisconsin |
Profile Details
| NPI number | 1942347604 |
|---|---|
| LBN Legal business name | Benish, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jun 15th, 2009 - 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.
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