Breitweiser, Daniel Robert

Breitweiser, Daniel Robert is an sole proprietor health care provider with primary practice located at 17000 W Capitol Dr , Brookfield WI 53005-2158. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Breitweiser, Daniel Robert can be contacted via phone (262) 373-0775.

Contact Information

Primary practice address
17000 W Capitol Dr Brookfield WI 53005-2158
Phone: (262) 373-0775
Fax: (262) 373-0788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WI2428 Wisconsin

Profile Details

NPI number 1205968203
LBN Legal business name Breitweiser, Daniel Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205968203 NPPES
Wisconsin MEDICAID 33400500

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