Du Bray, Kansas L
Du Bray, Kansas L is an individual health care provider with primary practice located at S2845 White Eagle Lane , Baraboo WI 53913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Du Bray, Kansas L can be contacted via phone (608) 355-1240.Contact Information
Primary practice address
S2845 White Eagle Lane
Baraboo WI 53913
Phone: (608) 355-1240
Fax: (608) 356-6347
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42772020 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42772020 | Wisconsin |
Profile Details
NPI number | 1003985284 |
---|---|
LBN Legal business name | Du Bray, Kansas L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1003985284 | NPPES |
Other | 14466 | DEAN HEALTH PLAN | |
MEDICAID | 34175500 | DEAN HEALTH PLAN | |
Other | P00054953 | DEAN HEALTH PLAN |
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