Kraig, Jeffrey James
Kraig, Jeffrey James is an sole proprietor health care provider with primary practice located at 145 S Marr St , Fond Du Lac WI 54935-4434. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kraig, Jeffrey James can be contacted via phone (920) 922-9000.Contact Information
Primary practice address
145 S Marr St
Fond Du Lac WI 54935-4434
Phone: (920) 922-9000
Fax: (920) 922-9025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1891-G | Wisconsin |
Profile Details
| NPI number | 1598818494 |
|---|---|
| LBN Legal business name | Kraig, Jeffrey James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598818494 | NPPES |
| Wisconsin | MEDICAID | 33352200 |
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