Traut, Kathleen

Traut, Kathleen is an individual health care provider with primary practice located at 1733 Melrose St , Madison WI 53704-3323. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Traut, Kathleen can be contacted via phone (608) 242-4149.

Contact Information

Primary practice address
1733 Melrose St Madison WI 53704-3323
Fax: (608) 242-4149
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 5058-016 Wisconsin

Profile Details

NPI number 1124185400
LBN Legal business name Traut, Kathleen
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 27th, 2012 - about 13 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 1124185400 NPPES
Wisconsin MEDICAID 33801900

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