Grenfell, Gina Rae
Grenfell, Gina Rae is an individual health care provider with primary practice located at 30 N 18Th Ave # 1 , Sturgeon Bay WI 54235-3207. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Grenfell, Gina Rae can be contacted via phone (920) 743-6976.Contact Information
Primary practice address
30 N 18Th Ave # 1
Sturgeon Bay WI 54235-3207
Phone: (920) 743-6976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6892-15 | Wisconsin |
Profile Details
| NPI number | 1942568787 |
|---|---|
| LBN Legal business name | Grenfell, Gina Rae |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Jul 10th, 2014 - about 12 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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