Carballo, Richard E

Carballo, Richard E is an individual health care provider with primary practice located at 2801 W Kk River Pkwy Suite 330, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Carballo, Richard E can be contacted via phone (414) 649-3240.

Contact Information

Primary practice address
2801 W Kk River Pkwy Suite 330 Milwaukee WI 53215-3669
Phone: (414) 649-3240
Fax: (414) 649-3244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 34732 Wisconsin

Profile Details

NPI number 1245208644
LBN Legal business name Carballo, Richard E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Dec 21st, 2021 - about 3 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 1245208644 NPPES
Wisconsin MEDICAID 32104600

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