Pfaffenbach, David D

Pfaffenbach, David D is an individual health care provider with primary practice located at 4801 Expo Dr , Manitowoc WI 54220-9341. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pfaffenbach, David D can be contacted via phone (920) 684-4429.

Contact Information

Primary practice address
4801 Expo Dr Manitowoc WI 54220-9341
Phone: (920) 684-4429
Fax: (920) 684-6892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17837 Wisconsin

Profile Details

NPI number 1205828019
LBN Legal business name Pfaffenbach, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205828019 NPPES
Wisconsin Other 0376640001 ADMINASTAR FEDERAL
Wisconsin Other 17837 ADMINASTAR FEDERAL
Wisconsin MEDICAID 31124100 ADMINASTAR FEDERAL

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