Dejean, Yvonne R.

Dejean, Yvonne R. is an individual health care provider with primary practice located at 806 W 5Th St , Marshfield WI 54449-2614. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Dejean, Yvonne R. can be contacted via phone (715) 387-1896.

Contact Information

Primary practice address
806 W 5Th St Marshfield WI 54449-2614
Phone: (715) 387-1896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2926 Wisconsin
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2926 Wisconsin

Profile Details

NPI number 1912015934
LBN Legal business name Dejean, Yvonne R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Sep 14th, 2011 - about 15 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 1912015934 NPPES
Wisconsin MEDICAID 33475400

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