Bivins, John David
Bivins, John David is an individual health care provider with primary practice located at 6220 W Loomis Rd , Greendale WI 53129-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bivins, John David can be contacted via phone (414) 423-0555.Contact Information
Primary practice address
6220 W Loomis Rd
Greendale WI 53129-2448
Phone: (414) 423-0555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45682-020 | Wisconsin |
Profile Details
| NPI number | 1841230463 |
|---|---|
| LBN Legal business name | Bivins, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 5th, 2023 - about 2 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 | 1841230463 | NPPES |
| Wisconsin | MEDICAID | 34417600 |
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