Anjum, Ehteshamul Haque
Anjum, Ehteshamul Haque is an sole proprietor health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Anjum, Ehteshamul Haque can be contacted via phone (608) 741-3814.Contact Information
Primary practice address
903 Mineral Point Ave
Janesville WI 53548-2970
Phone: (608) 741-3814
Fax: (608) 741-3816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME97863 | Florida |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 60106-20 | Wisconsin |
Profile Details
| NPI number | 1932229390 |
|---|---|
| LBN Legal business name | Anjum, Ehteshamul Haque |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Oct 7th, 2013 - about 12 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 | 1932229390 | NPPES |
| Florida | MEDICAID | 278131000 |
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