Charlson, John A.

Charlson, John A. is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Neoplastic Diseases Froedtert East Clinic Bldg, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Charlson, John A. can be contacted via phone (414) 805-4612.

Contact Information

Primary practice address
9200 W Wisconsin Ave Neoplastic Diseases Froedtert East Clinic Bldg Milwaukee WI 53226-3522
Phone: (414) 805-4612
Fax: (414) 805-6808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 42947 Wisconsin

Profile Details

NPI number 1386668192
LBN Legal business name Charlson, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386668192 NPPES
Wisconsin MEDICAID 1386668192

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