Elcano, Paul M

Elcano, Paul M is an individual health care provider with primary practice located at 1320 S Greenbay Rd , Racine WI 53406-4406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Elcano, Paul M can be contacted via phone (262) 637-9371.

Contact Information

Primary practice address
1320 S Greenbay Rd Racine WI 53406-4406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5643015 Wisconsin

Profile Details

NPI number 1386779791
LBN Legal business name Elcano, Paul M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
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 1386779791 NPPES
Wisconsin MEDICAID 33781900

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