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
Phone: (715) 738-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639325756 | NPPES |
| Wisconsin | MEDICAID | 33827600 | |
| Wisconsin | Other | 6227 |
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