Dega, Dawne
Dega, Dawne is an sole proprietor health care provider with primary practice located at 13035 W Bluemound Rd Suite 100, Brookfield WI 53005-8001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dega, Dawne can be contacted via phone (262) 784-9777.Contact Information
Primary practice address
13035 W Bluemound Rd Suite 100
Brookfield WI 53005-8001
Phone: (262) 784-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6537-123 | Wisconsin |
Profile Details
| NPI number | 1558426627 |
|---|---|
| LBN Legal business name | Dega, Dawne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1558426627 | NPPES |
| Wisconsin | MEDICAID | 39767500 |
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