Jaramillo, Adriana
Jaramillo, Adriana is an individual health care provider with primary practice located at 221 S Water St , Stoughton WI 53589-2137. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jaramillo, Adriana can be contacted via phone (608) 873-6464.Contact Information
Primary practice address
221 S Water St
Stoughton WI 53589-2137
Phone: (608) 873-6464
Fax: (608) 873-4866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5614015 | Wisconsin |
Profile Details
| NPI number | 1871679332 |
|---|---|
| LBN Legal business name | Jaramillo, Adriana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 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 | 1871679332 | NPPES |
| Wisconsin | MEDICAID | 33782500 |
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