Davies, Robert Evan
Davies, Robert Evan is an sole proprietor health care provider with primary practice located at 2117 Corporate Dr. Suite 100, Waukesha WI 53189. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Davies, Robert Evan can be contacted via phone (262) 547-5813.Contact Information
Primary practice address
2117 Corporate Dr. Suite 100
Waukesha WI 53189
Phone: (262) 547-5813
Fax: (262) 547-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5000400-015 | Wisconsin |
Profile Details
| NPI number | 1285713461 |
|---|---|
| LBN Legal business name | Davies, Robert Evan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 13th, 2011 - about 14 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 | 1285713461 | NPPES |
| Wisconsin | MEDICAID | 33662900 |
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