Abdissa, Mesfin Etana
Abdissa, Mesfin Etana is an sole proprietor health care provider with primary practice located at 6901 W Edgerton Ave , Milwaukee WI 53220-4420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abdissa, Mesfin Etana can be contacted via phone (414) 423-5179.Contact Information
Primary practice address
6901 W Edgerton Ave
Milwaukee WI 53220-4420
Phone: (414) 423-5179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48957 | Wisconsin |
Profile Details
| NPI number | 1376579417 |
|---|---|
| LBN Legal business name | Abdissa, Mesfin Etana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1376579417 | NPPES |
| Wisconsin | MEDICAID | 34871300 |
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