Morales, Eddie
Morales, Eddie is an individual health care provider with primary practice located at 2933 W Layton Ave , Greenfield WI 53221-2626. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Morales, Eddie can be contacted via phone (414) 282-2642.Contact Information
Primary practice address
2933 W Layton Ave
Greenfield WI 53221-2626
Phone: (414) 282-2642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 7160-15 | Wisconsin |
Profile Details
| NPI number | 1265743488 |
|---|---|
| LBN Legal business name | Morales, Eddie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Nov 5th, 2013 - about 11 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 | 1265743488 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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