Deboer, Robert
Deboer, Robert is an sole proprietor health care provider with primary practice located at 3520 W Oklahoma Ave. , Milwaukee WI 53215. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Deboer, Robert can be contacted via phone (414) 271-1166.Contact Information
Primary practice address
3520 W Oklahoma Ave.
Milwaukee WI 53215
Phone: (414) 271-1166
Fax: (414) 271-1167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5001599 | Wisconsin |
Profile Details
| NPI number | 1063508067 |
|---|---|
| LBN Legal business name | Deboer, Robert |
| Credentials | D.D.S., LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063508067 | NPPES |
| Wisconsin | MEDICAID | 33541000 |
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