Augustine, David E

Augustine, David E is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Augustine, David E can be contacted via phone (920) 320-4500.

Contact Information

Primary practice address
1650 S 41St St Manitowoc WI 54220-7316
Phone: (920) 320-4500
Fax: (920) 682-9378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33601 Wisconsin

Profile Details

NPI number 1619083185
LBN Legal business name Augustine, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 13th, 2010 - about 15 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 1619083185 NPPES
Wisconsin Other 00001598648 02 UNITED HEALTH
Wisconsin Other 080126370 UNITED HEALTH
Wisconsin MEDICAID 31852600 UNITED HEALTH
Wisconsin Other 390806395 UNITED HEALTH
Wisconsin Other 390806395 UNITED HEALTH
Wisconsin Other F31064 UNITED HEALTH
Wisconsin Other 390806395008 UNITED HEALTH
Wisconsin Other 33601 UNITED HEALTH
Wisconsin Other 7413 UNITED HEALTH

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