Willert, Jack Ralph
Willert, Jack Ralph is an sole proprietor health care provider with primary practice located at 1835 W Pointe Dr , Oshkosh WI 54902-4174. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Willert, Jack Ralph can be contacted via phone (920) 231-3140.Contact Information
Primary practice address
1835 W Pointe Dr
Oshkosh WI 54902-4174
Phone: (920) 231-3140
Fax: (920) 231-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5001833 | Wisconsin |
Profile Details
| NPI number | 1811033343 |
|---|---|
| LBN Legal business name | Willert, Jack Ralph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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