Carlson, Julie Ann
Carlson, Julie Ann is an individual health care provider with primary practice located at 3600 Tower Ave Suite 2, Superior WI 54880-5337. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Carlson, Julie Ann can be contacted via phone (715) 394-5411.Contact Information
Primary practice address
3600 Tower Ave Suite 2
Superior WI 54880-5337
Phone: (715) 394-5411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 4819 | Wisconsin |
Profile Details
| NPI number | 1396875506 |
|---|---|
| LBN Legal business name | Carlson, Julie Ann |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396875506 | NPPES |
| Wisconsin | Other | 4819 | STATE LICENSE |
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