Ackerman, Regan Wiesemann
Ackerman, Regan Wiesemann is an sole proprietor health care provider with primary practice located at 7600 Outer Loop , Louisville KY 40228-1729. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ackerman, Regan Wiesemann can be contacted via phone (502) 231-9970.Contact Information
Primary practice address
7600 Outer Loop
Louisville KY 40228-1729
Phone: (502) 231-9970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8470 | Kentucky |
Profile Details
| NPI number | 1871798173 |
|---|---|
| LBN Legal business name | Ackerman, Regan Wiesemann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jan 29th, 2012 - about 14 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 | 1871798173 | NPPES |
| Kentucky | Other | 208018897 | TAX ID FOR MORTENSON FAMILY DENTAL (EMPLOYMENT ENDED 1/31/12) |
| Kentucky | Other | 454214024 | TAX ID FOR MORTENSON FAMILY DENTAL (EMPLOYMENT ENDED 1/31/12) |
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