Neilsen, William M

Neilsen, William M is an individual health care provider with primary practice located at 67 Kendall St 120 Clifton Springs Professional Park, Clifton Springs NY 14432-9701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Neilsen, William M can be contacted via phone (315) 462-5633.

Contact Information

Primary practice address
67 Kendall St 120 Clifton Springs Professional Park Clifton Springs NY 14432-9701
Phone: (315) 462-5633
Fax: (315) 462-3196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 036016 New York

Profile Details

NPI number 1558342162
LBN Legal business name Neilsen, William M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558342162 NPPES
New York MEDICAID 00715797

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