Delforge, Drew J,
Delforge, Drew J, is an sole proprietor health care provider with primary practice located at 2727 6Th Street Lower Level, Monroe WI 53566-0399. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Delforge, Drew J, can be contacted via phone (608) 325-4995.Contact Information
Primary practice address
2727 6Th Street Lower Level
Monroe WI 53566-0399
Phone: (608) 325-4995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4145 | Wisconsin |
Profile Details
| NPI number | 1114102076 |
|---|---|
| LBN Legal business name | Delforge, Drew J, |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Feb 26th, 2014 - about 11 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 | 1114102076 | NPPES |
| Wisconsin | MEDICAID | 33659800 |
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