Alba, Henry Marion
Alba, Henry Marion is an individual health care provider with primary practice located at 4710 W Loomis Rd , Greenfield WI 53220-4823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Alba, Henry Marion can be contacted via phone (414) 433-1000.Contact Information
Primary practice address
4710 W Loomis Rd
Greenfield WI 53220-4823
Phone: (414) 433-1000
Fax: (414) 433-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 24881 | Wisconsin |
Profile Details
| NPI number | 1770695017 |
|---|---|
| LBN Legal business name | Alba, Henry Marion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770695017 | NPPES |
| Wisconsin | MEDICAID | 30468400 |
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