Dittman, Sarah

Dittman, Sarah is an individual health care provider with primary practice located at W3275 Wolf River Road , Keshena WI 54135. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dittman, Sarah can be contacted via phone (715) 799-3361.

Contact Information

Primary practice address
W3275 Wolf River Road Keshena WI 54135
Fax: (715) 799-3099
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 9971 Wisconsin

Profile Details

NPI number 1992978662
LBN Legal business name Dittman, Sarah
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992978662 NPPES
Wisconsin MEDICAID 33817900

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