Swanson, Loren Charles

Swanson, Loren Charles is an sole proprietor health care provider with primary practice located at 2215 Oregon St , Oshkosh WI 54902-7060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Swanson, Loren Charles can be contacted via phone (920) 231-8120.

Contact Information

Primary practice address
2215 Oregon St Oshkosh WI 54902-7060
Phone: (920) 231-8120
Fax: (920) 231-8296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001301015 Wisconsin

Profile Details

NPI number 1629104757
LBN Legal business name Swanson, Loren Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629104757 NPPES
Wisconsin MEDICAID 33614900

Popular Providers