Prentice Kerl, Kristy Kay
Prentice Kerl, Kristy Kay is an sole proprietor health care provider with primary practice located at 121 Jonathon Dr , Janesville WI 53548. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Prentice Kerl, Kristy Kay can be contacted via phone (608) 756-2631.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3896016 | Wisconsin |
Profile Details
| NPI number | 1760658983 |
|---|---|
| LBN Legal business name | Prentice Kerl, Kristy Kay |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2008 |
| Last updated | May 7th, 2008 - about 18 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 | 1760658983 | NPPES |
| Wisconsin | Other | 33804900 | WISCONSIN MEDICAID AND BADGERCARE PROGRAMS |
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