Magyera, Glen Alfred
Magyera, Glen Alfred is an sole proprietor health care provider with primary practice located at 3216 Business Park Drive , Stevens Point WI 54481. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Magyera, Glen Alfred can be contacted via phone (715) 341-7171.Contact Information
Primary practice address
3216 Business Park Drive
Stevens Point WI 54481
Phone: (715) 341-7171
Fax: (715) 341-5160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | WI2735 | Wisconsin |
Profile Details
| NPI number | 1619001609 |
|---|---|
| LBN Legal business name | Magyera, Glen Alfred |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 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 | 1619001609 | NPPES |
| Wisconsin | MEDICAID | 33426700 |
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