Hathaway, George
Hathaway, George is an individual health care provider with primary practice located at 406 Daly Avenue , Wisconsin Rapids WI 54494. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hathaway, George can be contacted via phone (715) 421-1515.Contact Information
Primary practice address
406 Daly Avenue
Wisconsin Rapids WI 54494
Phone: (715) 421-1515
Fax: (715) 423-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4111 | Wisconsin |
Profile Details
| NPI number | 1467555938 |
|---|---|
| LBN Legal business name | Hathaway, George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 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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