Burlingame, Nicole L

Burlingame, Nicole L is an individual health care provider with primary practice located at 111 W Jackson St Fl 3 , Wisconsin Rapids WI 54495-2702. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burlingame, Nicole L can be contacted via phone (715) 421-8937.

Contact Information

Primary practice address
111 W Jackson St Fl 3 Wisconsin Rapids WI 54495-2702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1004065-16 Wisconsin

Profile Details

NPI number 1578287991
LBN Legal business name Burlingame, Nicole L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2022
Last updated Sep 29th, 2022 - about 3 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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