Clarke, Callisia
Clarke, Callisia is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Surgical Oncology, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Clarke, Callisia can be contacted via phone (414) 805-5020.Contact Information
Primary practice address
9200 W Wisconsin Ave Surgical Oncology
Milwaukee WI 53226-3522
Phone: (414) 805-5020
Fax: (414) 805-5771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | P5611 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57012026 | Ohio |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | P5611 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 66205 | Wisconsin |
Profile Details
| NPI number | 1275752578 |
|---|---|
| LBN Legal business name | Clarke, Callisia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Dec 12th, 2016 - about 8 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 | 1275752578 | NPPES |
| Texas | MEDICAID | 320489301 | |
| Texas | Other | 8DT082 |
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