Tran Wertz, Kim
Tran Wertz, Kim is an individual health care provider with primary practice located at 12720 W North Ave Bldg B, Brookfield WI 53005. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Tran Wertz, Kim can be contacted via phone (262) 782-2300.Contact Information
Primary practice address
12720 W North Ave Bldg B
Brookfield WI 53005
Phone: (262) 782-2300
Fax: (262) 782-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 4384015 | Wisconsin |
Profile Details
| NPI number | 1710094719 |
|---|---|
| LBN Legal business name | Tran Wertz, Kim |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710094719 | NPPES |
| Wisconsin | MEDICAID | 33770200 |
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