Mahlum, Craig Edward
Mahlum, Craig Edward is an individual health care provider with primary practice located at W10237 Lake Emily Road , Fox Lake WI 53933. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mahlum, Craig Edward can be contacted via phone (262) 470-8646.Contact Information
Primary practice address
W10237 Lake Emily Road
Fox Lake WI 53933
Phone: (262) 470-8646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2959 | Wisconsin |
Profile Details
| NPI number | 1265513741 |
|---|---|
| LBN Legal business name | Mahlum, Craig Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Feb 15th, 2013 - about 13 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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