Concannon, James L

Concannon, James L is an individual health care provider with primary practice located at 111 E Wisconsin Ave Suite 2000, Milwaukee WI 53202-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Concannon, James L can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29246 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036074496 Illinois

Profile Details

NPI number 1942263967
LBN Legal business name Concannon, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Sep 9th, 2008 - about 16 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 1942263967 NPPES
Wisconsin Other 930044448 MEDICARE RAILROAD
Wisconsin Other 930063630 MEDICARE RAILROAD
Wisconsin Other 930068394 MEDICARE RAILROAD
Wisconsin MEDICAID 31423600 MEDICARE RAILROAD

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