Benthien, Douglas William

Benthien, Douglas William is an individual health care provider with primary practice located at 2505 N Mayfair Rd Ste 104, Milwaukee WI 53226-1404. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Benthien, Douglas William can be contacted via phone (414) 475-5809.

Contact Information

Primary practice address
2505 N Mayfair Rd Ste 104 Milwaukee WI 53226-1404
Phone: (414) 475-5809
Fax: (414) 258-9429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 311-156 Wisconsin

Profile Details

NPI number 1699931519
LBN Legal business name Benthien, Douglas William
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Jan 17th, 2014 - about 10 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 1699931519 NPPES
Wisconsin MEDICAID 41146400

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