Schlais, Dale L
Schlais, Dale L is an individual health care provider with primary practice located at 1420 Algoma St , New London WI 54961-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schlais, Dale L can be contacted via phone (920) 982-8300.Contact Information
Primary practice address
1420 Algoma St
New London WI 54961-2104
Phone: (920) 982-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23865 | Wisconsin |
Profile Details
| NPI number | 1508851403 |
|---|---|
| LBN Legal business name | Schlais, Dale L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 2nd, 2020 - about 4 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 | 1508851403 | NPPES |
| Wisconsin | MEDICAID | 31408200 |
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