Walgren, James C

Walgren, James C is an sole proprietor health care provider with primary practice located at 1122 Rockdale Rd , Dubuque IA 52003-7285. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walgren, James C can be contacted via phone (556) 556-2650.

Contact Information

Primary practice address
1122 Rockdale Rd Dubuque IA 52003-7285
Phone: (556) 556-2650
Fax: (563) 556-2331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 06360 Iowa

Profile Details

NPI number 1164522579
LBN Legal business name Walgren, James C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Oct 27th, 2015 - about 9 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 1164522579 NPPES
Iowa MEDICAID 0150763

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