Crim Wallace, Anita K.
Crim Wallace, Anita K. is an sole proprietor health care provider with primary practice located at 711 W Moreland Blvd Suite 204, Waukesha WI 53188-2483. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Crim Wallace, Anita K. can be contacted via phone (262) 896-9891.Contact Information
Primary practice address
711 W Moreland Blvd Suite 204
Waukesha WI 53188-2483
Phone: (262) 896-9891
Fax: (262) 347-4449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 10877-16 | Wisconsin |
Profile Details
| NPI number | 1952762213 |
|---|---|
| LBN Legal business name | Crim Wallace, Anita K. |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2016 |
| Last updated | Aug 10th, 2016 - about 9 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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