Biagtan, Juan T

Biagtan, Juan T is an individual health care provider with primary practice located at 19475 West North Avenue Suite 308, Brookfield WI 53045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Biagtan, Juan T can be contacted via phone (262) 780-4358.

Contact Information

Primary practice address
19475 West North Avenue Suite 308 Brookfield WI 53045
Phone: (262) 780-4358
Fax: (262) 780-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24129 Wisconsin

Profile Details

NPI number 1821008814
LBN Legal business name Biagtan, Juan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 3rd, 2010 - about 14 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 1821008814 NPPES
Wisconsin MEDICAID 30404900

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