Wielgus, Dannel Vernon
Wielgus, Dannel Vernon is an sole proprietor health care provider with primary practice located at 1789 Shawano Ave , Green Bay WI 54303-3243. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wielgus, Dannel Vernon can be contacted via phone (920) 494-2310.Contact Information
Primary practice address
1789 Shawano Ave
Green Bay WI 54303-3243
Phone: (920) 494-2310
Fax: (920) 494-6830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4595 | Wisconsin |
Profile Details
| NPI number | 1487755344 |
|---|---|
| LBN Legal business name | Wielgus, Dannel Vernon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487755344 | NPPES |
| Wisconsin | MEDICAID | 33732200 |
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