Andrei, Vicentiu

Andrei, Vicentiu is an individual health care provider with primary practice located at 11134 N Hwy 77 , Hayward WI 54843. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Andrei, Vicentiu can be contacted via phone (715) 634-5505.

Contact Information

Primary practice address
11134 N Hwy 77 Hayward WI 54843
Phone: (715) 634-5505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36760-020 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 36760-20 Wisconsin

Profile Details

NPI number 1053348243
LBN Legal business name Andrei, Vicentiu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 6th, 2011 - 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 1053348243 NPPES
Wisconsin MEDICAID 32310200

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