Luetzow, James Ebner

Luetzow, James Ebner is an individual health care provider with primary practice located at 6011 Durand Ave Suite 200, Racine WI 53406-5060. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Luetzow, James Ebner can be contacted via phone (262) 554-5468.

Contact Information

Primary practice address
6011 Durand Ave Suite 200 Racine WI 53406-5060
Phone: (262) 554-5468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2387 Wisconsin

Profile Details

NPI number 1982736583
LBN Legal business name Luetzow, James Ebner
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 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.

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