Bukowy, Elizabeth Ann

Bukowy, Elizabeth Ann is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Specialty Clinics Building, 4Th Floor, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Bukowy, Elizabeth Ann can be contacted via phone (414) 805-6850.

Contact Information

Primary practice address
9200 W Wisconsin Ave Specialty Clinics Building, 4Th Floor Milwaukee WI 53226-3522
Phone: (414) 805-6850
Fax: (414) 805-6851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65157 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 65157 Wisconsin

Profile Details

NPI number 1063839397
LBN Legal business name Bukowy, Elizabeth Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Sep 8th, 2023 - about last year

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 1063839397 NPPES
Wisconsin MEDICAID 1063839397

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