Slavens, Juliet Anne
Slavens, Juliet Anne is an individual health care provider with primary practice located at 311 E Tyranena Park Rd , Lake Mills WI 53551-9681. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Slavens, Juliet Anne can be contacted via phone (920) 648-2331.Contact Information
Primary practice address
311 E Tyranena Park Rd
Lake Mills WI 53551-9681
Phone: (920) 648-2331
Fax: (920) 648-3437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3647 | Iowa |
Profile Details
| NPI number | 1649294224 |
|---|---|
| LBN Legal business name | Slavens, Juliet Anne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Apr 23rd, 2009 - about 17 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 | 1649294224 | NPPES |
| Wisconsin | MEDICAID | 33489300 | |
| Wisconsin | MEDICAID | 38395300 |
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