Zietz, Fred E
Zietz, Fred E is an sole proprietor health care provider with primary practice located at 6333 University Ave Suite 110, Middleton WI 53562-3415. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Zietz, Fred E can be contacted via phone (608) 238-6244.Contact Information
Primary practice address
6333 University Ave Suite 110
Middleton WI 53562-3415
Phone: (608) 238-6244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3582 | Wisconsin |
Profile Details
| NPI number | 1346463528 |
|---|---|
| LBN Legal business name | Zietz, Fred E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 9th, 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 | 1346463528 | NPPES |
| Wisconsin | MEDICAID | 33490900 |
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