Wildes, Michele
Wildes, Michele is an sole proprietor health care provider with primary practice located at 2725 Affirmed Drive , Janesville WI 53546-4416. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wildes, Michele can be contacted via phone (608) 931-6119.Contact Information
Primary practice address
2725 Affirmed Drive
Janesville WI 53546-4416
Phone: (608) 931-6119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 9737-16 | Wisconsin |
Profile Details
| NPI number | 1124543517 |
|---|---|
| LBN Legal business name | Wildes, Michele |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1124543517 | NPPES |
| Wisconsin | Other | 9737-16 | REGISTERED DENTAL HYGIENIST |
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