Fahsel, Steven John
Fahsel, Steven John is an individual health care provider with primary practice located at 119 W Lake St , Lake Mills WI 53551. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fahsel, Steven John can be contacted via phone (920) 648-2912.Contact Information
Primary practice address
119 W Lake St
Lake Mills WI 53551
Phone: (920) 648-2912
Fax: (690) 648-8219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0003219 | Wisconsin |
Profile Details
| NPI number | 1184706160 |
|---|---|
| LBN Legal business name | Fahsel, Steven John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184706160 | NPPES |
| Wisconsin | MEDICAID | 33460200 |
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