Humiston, Daniel Albert
Humiston, Daniel Albert is an sole proprietor health care provider with primary practice located at 1337 N Taylor Dr , Sheboygan WI 53081-3012. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Humiston, Daniel Albert can be contacted via phone (920) 452-4688.Contact Information
Primary practice address
1337 N Taylor Dr
Sheboygan WI 53081-3012
Phone: (920) 452-4688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3227 | Wisconsin |
Profile Details
| NPI number | 1134248628 |
|---|---|
| LBN Legal business name | Humiston, Daniel Albert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134248628 | NPPES |
| Wisconsin | MEDICAID | 33457500 |
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