White, Robert Wilson

White, Robert Wilson is an sole proprietor health care provider with primary practice located at 415 Broad St Suite 201, Lake Geneva WI 53147-1800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. White, Robert Wilson can be contacted via phone (126) 224-8382.

Contact Information

Primary practice address
415 Broad St Suite 201 Lake Geneva WI 53147-1800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 581G Wisconsin

Profile Details

NPI number 1144234030
LBN Legal business name White, Robert Wilson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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