Wimmer, Laura J

Wimmer, Laura J is an individual health care provider with primary practice located at 1910 County Rd Nn , Elkhorn WI 53121. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wimmer, Laura J can be contacted via phone (262) 741-3200.

Contact Information

Primary practice address
1910 County Rd Nn Elkhorn WI 53121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3183 Wisconsin

Profile Details

NPI number 1679110159
LBN Legal business name Wimmer, Laura J
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 2019 - about 7 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 1679110159 NPPES
Wisconsin MEDICAID 41852800

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