Ledford, Dylan Steven
Ledford, Dylan Steven is an sole proprietor health care provider with primary practice located at 4590 County Rd N , Cottage Grove WI 53527-9208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ledford, Dylan Steven can be contacted via phone (608) 839-3104.Contact Information
Primary practice address
4590 County Rd N
Cottage Grove WI 53527-9208
Phone: (608) 839-3104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66688 | Wisconsin |
Profile Details
| NPI number | 1427443753 |
|---|---|
| LBN Legal business name | Ledford, Dylan Steven |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Jun 30th, 2023 - about 3 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 | 1427443753 | NPPES |
| Wisconsin | MEDICAID | 1427443753 |
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