Wigutow, Dawn Marie
Wigutow, Dawn Marie is an individual health care provider with primary practice located at 27 Uhl St , Lake Ronkonkoma NY 11779-2740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wigutow, Dawn Marie can be contacted via phone (631) 877-9184.Contact Information
Primary practice address
27 Uhl St
Lake Ronkonkoma NY 11779-2740
Phone: (631) 877-9184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 076904-1 | New York |
Profile Details
| NPI number | 1871713065 |
|---|---|
| LBN Legal business name | Wigutow, Dawn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Feb 21st, 2024 - about last year |
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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