Churchill, Robert Sean

Churchill, Robert Sean is an individual health care provider with primary practice located at 975 Port Washington Road Suite 110, Grafton WI 53024-9201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Churchill, Robert Sean can be contacted via phone (262) 387-8300.

Contact Information

Primary practice address
975 Port Washington Road Suite 110 Grafton WI 53024-9201
Phone: (262) 387-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43018 Wisconsin

Profile Details

NPI number 1811926017
LBN Legal business name Churchill, Robert Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Nov 30th, 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 1811926017 NPPES
Wisconsin Other P00449571 RR MEDICARE
Wisconsin MEDICAID 34058200 RR MEDICARE

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