Athas, Deena M

Athas, Deena M is an sole proprietor health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Athas, Deena M can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD434629 Pennsylvania
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 250291 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 62342 Minnesota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 67604-20 Wisconsin

Profile Details

NPI number 1457526170
LBN Legal business name Athas, Deena M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Oct 23rd, 2017 - about 7 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 1457526170 NPPES
New Jersey MEDICAID 0172481
New Jersey MEDICAID 1021972300001

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