Peglow, Jennifer Robin

Peglow, Jennifer Robin is an individual health care provider with primary practice located at 1501 Plover St , Stevens Point WI 54481. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Peglow, Jennifer Robin can be contacted via phone (715) 344-2324.

Contact Information

Primary practice address
1501 Plover St Stevens Point WI 54481
Phone: (715) 344-2324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5019GWI Wisconsin

Profile Details

NPI number 1821104159
LBN Legal business name Peglow, Jennifer Robin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1821104159 NPPES
Wisconsin MEDICAID 33777900

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