Pantzlaff, Daniel

Pantzlaff, Daniel is an individual health care provider with primary practice located at 2733 Manitowoc Rd Ste 8B , Green Bay WI 54311-4901. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Pantzlaff, Daniel can be contacted via phone (920) 468-7474.

Contact Information

Primary practice address
2733 Manitowoc Rd Ste 8B Green Bay WI 54311-4901
Phone: (920) 468-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1239-060 Wisconsin

Profile Details

NPI number 1902006059
LBN Legal business name Pantzlaff, Daniel
Credentials H.I.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902006059 NPPES
Wisconsin MEDICAID 42837600

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