Brown, David J
Brown, David J is an individual health care provider with primary practice located at 400 S Townline Road Box 1440, Wautoma WI 54982. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brown, David J can be contacted via phone (920) 787-5514.Contact Information
Primary practice address
400 S Townline Road Box 1440
Wautoma WI 54982
Phone: (920) 787-5514
Fax: (920) 787-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5318015 | Wisconsin |
Profile Details
| NPI number | 1013036433 |
|---|---|
| LBN Legal business name | Brown, David J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013036433 | NPPES |
| Wisconsin | MEDICAID | 33765400 |
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