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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003985284 NPPES
Other 14466 DEAN HEALTH PLAN
MEDICAID 34175500 DEAN HEALTH PLAN
Other P00054953 DEAN HEALTH PLAN

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