Iwen, Bryan William
Iwen, Bryan William is an individual health care provider with primary practice located at 613 Center Dr , Luxemburg WI 54217-1031. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Iwen, Bryan William can be contacted via phone (920) 845-2225.Contact Information
Primary practice address
613 Center Dr
Luxemburg WI 54217-1031
Phone: (920) 845-2225
Fax: (920) 845-5627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4930 | Wisconsin |
Profile Details
| NPI number | 1861537300 |
|---|---|
| LBN Legal business name | Iwen, Bryan William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 9th, 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 | 1861537300 | NPPES |
| Wisconsin | MEDICAID | 33744300 |
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