Chester, Dmitriy B
Chester, Dmitriy B is an individual health care provider with primary practice located at 1340 W Towne Square Rd Stop 5 , Mequon WI 53092-5076. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Chester, Dmitriy B can be contacted via phone (262) 292-8101.Contact Information
Primary practice address
1340 W Towne Square Rd Stop 5
Mequon WI 53092-5076
Phone: (262) 292-8101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3009-033 | Wisconsin |
Profile Details
| NPI number | 1235283508 |
|---|---|
| LBN Legal business name | Chester, Dmitriy B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235283508 | NPPES |
| Wisconsin | Other | 3009-033 | NURSE PRACTITIONER |
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