Zander, Jeffrey L
Zander, Jeffrey L is an individual health care provider with primary practice located at 152 Woodlawn Dr , Shawano WI 54166-2200. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Zander, Jeffrey L can be contacted via phone (715) 526-3314.Contact Information
Primary practice address
152 Woodlawn Dr
Shawano WI 54166-2200
Phone: (715) 526-3314
Fax: (715) 524-9893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2262015 | Wisconsin |
Profile Details
| NPI number | 1477536613 |
|---|---|
| LBN Legal business name | Zander, Jeffrey L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477536613 | NPPES |
| Wisconsin | MEDICAID | 33386000 |
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