Derose, Nicolet

Derose, Nicolet is an individual health care provider with primary practice located at 316 5Th St , Racine WI 53403-4606. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Derose, Nicolet can be contacted via phone (262) 534-8662.

Contact Information

Primary practice address
316 5Th St Racine WI 53403-4606
Phone: (262) 534-8662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2362 Wisconsin

Profile Details

NPI number 1194892166
LBN Legal business name Derose, Nicolet
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
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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