Schmidt, Joseph Mark

Schmidt, Joseph Mark is an individual health care provider with primary practice located at 1111 Delafield St Suite 222, Waukesha WI 53188-3417. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Schmidt, Joseph Mark can be contacted via phone (262) 547-8665.

Contact Information

Primary practice address
1111 Delafield St Suite 222 Waukesha WI 53188-3417
Phone: (262) 547-8665
Fax: (262) 547-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3968 Wisconsin

Profile Details

NPI number 1912014697
LBN Legal business name Schmidt, Joseph Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 16th, 2010 - about 14 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 1912014697 NPPES
Wisconsin MEDICAID 33699100

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