Palmer, Debra Sue
Palmer, Debra Sue is an individual health care provider with primary practice located at 4425 Tayor Avenue Suite 3, Racine WI 53405-4642. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Palmer, Debra Sue can be contacted via phone (262) 554-9055.Contact Information
Primary practice address
4425 Tayor Avenue Suite 3
Racine WI 53405-4642
Phone: (262) 554-9055
Fax: (262) 554-9053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3816WI | Wisconsin |
Profile Details
| NPI number | 1730280934 |
|---|---|
| LBN Legal business name | Palmer, Debra Sue |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 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 | 1730280934 | NPPES |
| Wisconsin | MEDICAID | 33497800 |
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