Jenkins, Maria Christine

Jenkins, Maria Christine is an individual health care provider with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jenkins, Maria Christine can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10947-016 Wisconsin

Profile Details

NPI number 1629377676
LBN Legal business name Jenkins, Maria Christine
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2011
Last updated Sep 6th, 2012 - about 13 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 1629377676 NPPES
Wisconsin MEDICAID 1629377676

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