Wasserman, Allan J

Wasserman, Allan J is an individual health care provider with primary practice located at 1135 S Cesar E Chavez Dr , Milwaukee WI 53204-2266. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wasserman, Allan J can be contacted via phone (414) 645-4540.

Contact Information

Primary practice address
1135 S Cesar E Chavez Dr Milwaukee WI 53204-2266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5000107-015 Wisconsin

Profile Details

NPI number 1396788584
LBN Legal business name Wasserman, Allan J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 9th, 2012 - about 12 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 1396788584 NPPES
Wisconsin MEDICAID 33527900

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