Agapitov, Alexei Vasilievich

Agapitov, Alexei Vasilievich is an individual health care provider with primary practice located at 16650 W Bluemound Rd Suite 200, Brookfield WI 53005-5920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Agapitov, Alexei Vasilievich can be contacted via phone (262) 827-9200.

Contact Information

Primary practice address
16650 W Bluemound Rd Suite 200 Brookfield WI 53005-5920
Phone: (262) 827-9200
Fax: (262) 827-9858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 52691-020 Wisconsin

Profile Details

NPI number 1841201514
LBN Legal business name Agapitov, Alexei Vasilievich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 28th, 2015 - about 9 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 1841201514 NPPES
Wisconsin MEDICAID 1841201514

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