Stromberg, Barry Robert

Stromberg, Barry Robert is an individual health care provider with primary practice located at 13961 60Th St N , Stillwater MN 55082-1053. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stromberg, Barry Robert can be contacted via phone (651) 439-2600.

Contact Information

Primary practice address
13961 60Th St N Stillwater MN 55082-1053
Phone: (651) 439-2600
Fax: (651) 439-2211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0005146 Wisconsin

Profile Details

NPI number 1265439350
LBN Legal business name Stromberg, Barry Robert
Credentials DOS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 6th, 2009 - about 16 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 1265439350 NPPES
Wisconsin MEDICAID 33755800

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