Enslin, Brenda
Enslin, Brenda is an individual health care provider with primary practice located at 4060 S Lake Dr Apt 4 , St Francis WI 53235-5256. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Enslin, Brenda can be contacted via phone (612) 237-8531.Contact Information
Primary practice address
4060 S Lake Dr Apt 4
St Francis WI 53235-5256
Phone: (612) 237-8531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1004086-16 | Wisconsin |
Profile Details
| NPI number | 1760126270 |
|---|---|
| LBN Legal business name | Enslin, Brenda |
| Credentials | LDH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Apr 21st, 2022 - about 3 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 | 1760126270 | NPPES |
| Wisconsin | MEDICAID | 124Q0000X |
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