Beversdorf, Amanda Marie

Beversdorf, Amanda Marie is an individual health care provider with primary practice located at 413 N 17Th Ave , Wausau WI 54401. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Beversdorf, Amanda Marie can be contacted via phone (715) 842-4649.

Contact Information

Primary practice address
413 N 17Th Ave Wausau WI 54401
Phone: (715) 842-4649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10617-016 Wisconsin

Profile Details

NPI number 1184021230
LBN Legal business name Beversdorf, Amanda Marie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2014
Last updated Dec 4th, 2014 - about 11 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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