Betz, John H.

Betz, John H. is an individual health care provider with primary practice located at 615 10Th St S , La Crosse WI 54601-4768. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Betz, John H. can be contacted via phone (608) 782-4054.

Contact Information

Primary practice address
615 10Th St S La Crosse WI 54601-4768
Fax: (608) 782-2198
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5000873 Wisconsin

Profile Details

NPI number 1679662324
LBN Legal business name Betz, John H.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 18 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 1679662324 NPPES
Other 820798 UNITED CONCORDIA
MEDICAID 0945873 UNITED CONCORDIA
MEDICAID 33563700 UNITED CONCORDIA

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