Colon Nieves, Pablo J
Colon Nieves, Pablo J is an sole proprietor health care provider with primary practice located at 5900 S Lake Dr , Cudahy WI 53110-3171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Colon Nieves, Pablo J can be contacted via phone (262) 720-8977.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 56814-20 | Wisconsin |
Profile Details
| NPI number | 1376794362 |
|---|---|
| LBN Legal business name | Colon Nieves, Pablo J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Nov 29th, 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 | 1376794362 | NPPES |
| Wisconsin | MEDICAID | 100034883 |
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