Bulacan, Frederick K.
Bulacan, Frederick K. is an individual health care provider with primary practice located at W180N8000 Town Hall Rd , Menomonee Falls WI 53051-4002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bulacan, Frederick K. can be contacted via phone (262) 255-2500.Contact Information
Primary practice address
W180N8000 Town Hall Rd
Menomonee Falls WI 53051-4002
Phone: (262) 255-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35691 | Wisconsin |
Profile Details
| NPI number | 1699768622 |
|---|---|
| LBN Legal business name | Bulacan, Frederick K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 1st, 2019 - about 5 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 | 1699768622 | NPPES |
| Wisconsin | Other | 046573840 | MEDICARE PTAN |
| Wisconsin | Other | 042368480 | MEDICARE PTAN |
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