Egan, Ronald
Egan, Ronald is an sole proprietor health care provider with primary practice located at 3712 Kadow St , Manitowoc WI 54220-5450. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Egan, Ronald can be contacted via phone (920) 684-8033.Contact Information
Primary practice address
3712 Kadow St
Manitowoc WI 54220-5450
Phone: (920) 684-8033
Fax: (920) 684-6360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3890 | Wisconsin |
Profile Details
| NPI number | 1588685028 |
|---|---|
| LBN Legal business name | Egan, Ronald |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 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 | 1588685028 | NPPES |
| Wisconsin | MEDICAID | 33700500 |
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