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Contact Information

PRANAV BHIDE
430 MAIN ST
GREEN BAY, WI54301-5115
 Phone: 201-492-4864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PRANAV BHIDE · (Male)

NPI Number 1780232827
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2019
Last updated 08/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901022830
  • WI License # 1002418-15
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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