Rasmussen, Dane L

Rasmussen, Dane L is an individual health care provider with primary practice located at 840 Main St. , Baldwin WI 54002. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Rasmussen, Dane L can be contacted via phone (715) 684-2825.

Contact Information

Primary practice address
840 Main St. Baldwin WI 54002
Fax: (715) 684-4076
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9469040 Wisconsin

Profile Details

NPI number 1497807929
LBN Legal business name Rasmussen, Dane L
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497807929 NPPES
Wisconsin MEDICAID 33079900

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