Corcoran, Gerald Roger
Corcoran, Gerald Roger is an sole proprietor health care provider with primary practice located at 210 N Main St Suite 103, De Forest WI 53532-1163. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Corcoran, Gerald Roger can be contacted via phone (608) 846-3948.Contact Information
Primary practice address
210 N Main St Suite 103
De Forest WI 53532-1163
Phone: (608) 846-3948
Fax: (608) 846-7526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2412 | Wisconsin |
Profile Details
| NPI number | 1851554521 |
|---|---|
| LBN Legal business name | Corcoran, Gerald Roger |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Jul 3rd, 2008 - about 16 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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