Schmidt, Carleen Linda
Schmidt, Carleen Linda is an sole proprietor health care provider with primary practice located at 2457 N Mayfair Rd Suite 101, Wauwatosa WI 53226-1405. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Schmidt, Carleen Linda can be contacted via phone (414) 774-7550.Contact Information
Primary practice address
2457 N Mayfair Rd Suite 101
Wauwatosa WI 53226-1405
Phone: (414) 774-7550
Fax: (414) 774-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3970-015 | Wisconsin |
Profile Details
| NPI number | 1205848173 |
|---|---|
| LBN Legal business name | Schmidt, Carleen Linda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 9th, 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 | 1205848173 | NPPES |
| Wisconsin | MEDICAID | 7682 | |
| Wisconsin | MEDICAID | 33682200 |
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