Brickner, Jack L
Brickner, Jack L is an sole proprietor health care provider with primary practice located at 5553 Waterford Ln , Appleton WI 54913-8468. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brickner, Jack L can be contacted via phone (920) 739-7165.Contact Information
Primary practice address
5553 Waterford Ln
Appleton WI 54913-8468
Phone: (920) 739-7165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5001371G | Wisconsin |
Profile Details
| NPI number | 1215086566 |
|---|---|
| LBN Legal business name | Brickner, Jack L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jan 15th, 2009 - about 15 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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