Sybesma, William G
Sybesma, William G is an individual health care provider with primary practice located at 865 Mullen Dr , Fond Du Lac WI 54935-6437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sybesma, William G can be contacted via phone (920) 744-8147.Contact Information
Primary practice address
865 Mullen Dr
Fond Du Lac WI 54935-6437
Phone: (920) 744-8147
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21464 | Wisconsin |
Profile Details
| NPI number | 1093798324 |
|---|---|
| LBN Legal business name | Sybesma, William G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Sep 11th, 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 | 1093798324 | NPPES |
| Wisconsin | Other | 040008752 | RAILROAD MEDICARE |
| Wisconsin | Other | 39080723648 | RAILROAD MEDICARE |
| Wisconsin | Other | WI0156 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 30172100 | RAILROAD MEDICARE |
| Wisconsin | Other | 12573 | RAILROAD MEDICARE |
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