Serres, Brian J.

Serres, Brian J. is an individual health care provider with primary practice located at 850 Lakeland Drive , Chippewa Falls WI 54729-1687. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Serres, Brian J. can be contacted via phone (715) 738-2000.

Contact Information

Primary practice address
850 Lakeland Drive Chippewa Falls WI 54729-1687
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6227-15 Wisconsin
Dental Providers / Dentist 122300000X 6227 Wisconsin

Profile Details

NPI number 1639325756
LBN Legal business name Serres, Brian J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Sep 1st, 2011 - about 14 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 1639325756 NPPES
Wisconsin MEDICAID 33827600
Wisconsin Other 6227

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