Fissel, Donald Brent

Fissel, Donald Brent is an individual health care provider with primary practice located at 112 S Kibler St , New Washington OH 44854-9301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fissel, Donald Brent can be contacted via phone (419) 492-2024.

Contact Information

Primary practice address
112 S Kibler St New Washington OH 44854-9301
Phone: (419) 492-2024
Fax: (419) 492-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30.018848 Ohio

Profile Details

NPI number 1205045903
LBN Legal business name Fissel, Donald Brent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 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 1205045903 NPPES
Ohio MEDICAID 0709004

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