Peerenboom, Jay Francis
Peerenboom, Jay Francis is an sole proprietor health care provider with primary practice located at 1 Corporate Dr Suite 100, Wausau WI 54401-1722. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peerenboom, Jay Francis can be contacted via phone (715) 842-9968.Contact Information
Primary practice address
1 Corporate Dr Suite 100
Wausau WI 54401-1722
Phone: (715) 842-9968
Fax: (715) 842-9478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5001905-015 | Wisconsin |
Profile Details
| NPI number | 1861559148 |
|---|---|
| LBN Legal business name | Peerenboom, Jay Francis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 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.
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