Pecotte, John Keith
Pecotte, John Keith is an sole proprietor health care provider with primary practice located at 317 Knutson Dr , Madison WI 53704-1133. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pecotte, John Keith can be contacted via phone (608) 301-1830.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5001953-015 | Wisconsin |
Profile Details
| NPI number | 1245419092 |
|---|---|
| LBN Legal business name | Pecotte, John Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Oct 29th, 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 | 1245419092 | NPPES |
| Wisconsin | MEDICAID | 33424000 |
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