Vang, Eli

Vang, Eli is an individual health care provider with primary practice located at 2719 Calumet Ave , Manitowoc WI 54220-5546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vang, Eli can be contacted via phone (920) 783-6633.

Contact Information

Primary practice address
2719 Calumet Ave Manitowoc WI 54220-5546
Phone: (920) 783-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6001027-15 Wisconsin

Profile Details

NPI number 1932835485
LBN Legal business name Vang, Eli
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 2 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 1932835485 NPPES
Wisconsin Other 6001027-15 WI STATE LICENSE

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