Artis, Tommie
Artis, Tommie is an sole proprietor health care provider with primary practice located at 453 N Story Pkwy , Milwaukee WI 53208-3622. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Artis, Tommie can be contacted via phone (414) 788-5306.Contact Information
Primary practice address
453 N Story Pkwy
Milwaukee WI 53208-3622
Phone: (414) 788-5306
Fax: (414) 453-7660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1841471760 |
|---|---|
| LBN Legal business name | Artis, Tommie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Nov 20th, 2007 - about 18 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 | 1841471760 | NPPES |
| Wisconsin | MEDICAID | 41490200 |
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