Dohrmann, Richard J

Dohrmann, Richard J is an individual health care provider with primary practice located at 2800 Pierce St Ste 202, Sioux City IA 51104-3407. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dohrmann, Richard J can be contacted via phone (712) 255-0107.

Contact Information

Primary practice address
2800 Pierce St Ste 202 Sioux City IA 51104-3407
Fax: (712) 255-0145
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6104 Iowa

Profile Details

NPI number 1740257740
LBN Legal business name Dohrmann, Richard J
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740257740 NPPES
Nebraska MEDICAID 91201365400
Nebraska Other 13148
Nebraska MEDICAID 0131482
Nebraska MEDICAID 7803490

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