Enciso, Rosa I
Enciso, Rosa I is an individual health care provider with primary practice located at 1730 S 13Th St , Milwaukee WI 53204-3201. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Enciso, Rosa I can be contacted via phone (414) 383-3220.Contact Information
Primary practice address
1730 S 13Th St
Milwaukee WI 53204-3201
Phone: (414) 383-3220
Fax: (414) 383-3363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1003488 | Wisconsin |
Profile Details
| NPI number | 1730855321 |
|---|---|
| LBN Legal business name | Enciso, Rosa I |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Sep 3rd, 2021 - about 4 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 | 1730855321 | NPPES |
| Wisconsin | Other | 1003488 | STATE LICENSE |
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