Botten, Carly

Botten, Carly is an individual health care provider with primary practice located at 15910 W Company Lake Rd C/O Tricia Krym, Hayward WI 54843-5320. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Botten, Carly can be contacted via phone (715) 634-2541.

Contact Information

Primary practice address
15910 W Company Lake Rd C/O Tricia Krym Hayward WI 54843-5320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1003022 Wisconsin

Profile Details

NPI number 1801337985
LBN Legal business name Botten, Carly
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 8 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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