Vandehaar, Kent
Vandehaar, Kent is an sole proprietor health care provider with primary practice located at 123 W Willow St , Chippewa Falls WI 54729-2329. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vandehaar, Kent can be contacted via phone (715) 723-5688.Contact Information
Primary practice address
123 W Willow St
Chippewa Falls WI 54729-2329
Phone: (715) 723-5688
Fax: (715) 723-4039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2836 | Wisconsin |
Profile Details
| NPI number | 1275743023 |
|---|---|
| LBN Legal business name | Vandehaar, Kent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 9th, 2007 - 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 | 1275743023 | NPPES |
| Wisconsin | MEDICAID | 33432500 |
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