Pilgrim, Tony Lee
Pilgrim, Tony Lee is an sole proprietor health care provider with primary practice located at 122 S. State St. , Fall Creek WI 54742-0066. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pilgrim, Tony Lee can be contacted via phone (715) 877-2113.Contact Information
Primary practice address
122 S. State St.
Fall Creek WI 54742-0066
Phone: (715) 877-2113
Fax: (715) 877-3495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 003104 | Wisconsin |
Profile Details
| NPI number | 1861545055 |
|---|---|
| LBN Legal business name | Pilgrim, Tony Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861545055 | NPPES |
| Wisconsin | MEDICAID | 33458700 |
Popular Providers
-
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Moskowitz, Steven A.
1517 Packer Ave , Philadelphia PA 19145-4910 -
Melk, Jonathon J
540 Village Walk Ln Suite E, Johnson Creek WI 53038-9554 -
Koester, Daniel R
132 E Drexel Ave , Oak Creek WI 53154-2123 -
Jorgensen, Shonna Marie
540 Village Walk Ln Suite E, Johnson Creek WI 53038-9554 -
Muddana, Praveena
8241 S Howell Ave Suite 100, Oak Creek WI 53154-8346 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100 -
Mehra, Surinder K
6312 S 27Th St Ste 103 , Oak Creek WI 53154-1092