Betlej, Anna M

Betlej, Anna M is an individual health care provider with primary practice located at 5328 Coldwater Rd , Fort Wayne IN 46825-5445. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Betlej, Anna M can be contacted via phone (260) 471-5016.

Contact Information

Primary practice address
5328 Coldwater Rd Fort Wayne IN 46825-5445
Phone: (260) 471-5016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12013698A Indiana

Profile Details

NPI number 1104592724
LBN Legal business name Betlej, Anna M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2021
Last updated Sep 15th, 2021 - about 3 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 1104592724 NPPES
Indiana Other 12013698A STATE DENTAL BOARD

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