Bangert, Orson Daniel
Bangert, Orson Daniel is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bangert, Orson Daniel can be contacted via phone (608) 756-6611.Contact Information
Primary practice address
1000 Mineral Point Ave
Janesville WI 53548-2940
Phone: (608) 756-6611
Fax: (608) 756-6236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61194-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 61194-21 | Wisconsin |
Profile Details
| NPI number | 1235455437 |
|---|---|
| LBN Legal business name | Bangert, Orson Daniel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2010 |
| Last updated | Jan 12th, 2015 - about 10 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 | 1235455437 | NPPES |
| Wisconsin | Other | 123545537 | BCBSWI |
| Wisconsin | Other | BANGEORS | BCBSWI |
| Wisconsin | MEDICAID | 123545537 | BCBSWI |
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