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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245208644 | NPPES |
| Wisconsin | MEDICAID | 32104600 |
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