Diamond, Brenda Kaye
Diamond, Brenda Kaye is an individual health care provider with primary practice located at 3504 E Maria Dr , Stevens Point WI 54481-1334. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Diamond, Brenda Kaye can be contacted via phone (715) 343-2050.Contact Information
Primary practice address
3504 E Maria Dr
Stevens Point WI 54481-1334
Phone: (715) 343-2050
Fax: (715) 342-0062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3498-016 | Wisconsin |
Profile Details
| NPI number | 1487856449 |
|---|---|
| LBN Legal business name | Diamond, Brenda Kaye |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1487856449 | NPPES |
| Wisconsin | MEDICAID | 33804600 |
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