Endres, Kathleen Mary
Endres, Kathleen Mary is an sole proprietor health care provider with primary practice located at 1223 Darlene Dr , Menasha WI 54952-1829. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Endres, Kathleen Mary can be contacted via phone (920) 470-1450.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 5775-016 | Wisconsin |
Profile Details
| NPI number | 1003090895 |
|---|---|
| LBN Legal business name | Endres, Kathleen Mary |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Dec 28th, 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 | 1003090895 | NPPES |
| Wisconsin | MEDICAID | 33814800 |
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