Alfaraz, Carlos Rodolfo

Alfaraz, Carlos Rodolfo is an sole proprietor health care provider with primary practice located at 1310 Broadway , Wisconsin Dells WI 53965-1358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alfaraz, Carlos Rodolfo can be contacted via phone (608) 253-1171.

Contact Information

Primary practice address
1310 Broadway Wisconsin Dells WI 53965-1358
Phone: (608) 253-1171
Fax: (608) 253-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301060737 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56134 Wisconsin

Profile Details

NPI number 1891861241
LBN Legal business name Alfaraz, Carlos Rodolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Aug 27th, 2012 - about 14 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 1891861241 NPPES
Wisconsin Other P01038284 RAILROAD MEDICARE
Wisconsin MEDICAID 100016791 RAILROAD MEDICARE
Wisconsin Other 61204 RAILROAD MEDICARE
Wisconsin Other 2058269 RAILROAD MEDICARE

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