Crisostomo, Arthur

Crisostomo, Arthur is an individual health care provider with primary practice located at N57W24950 N Corporate Cir Prohealth Care Medical Associates Inc., Sussex WI 53089-4383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Crisostomo, Arthur can be contacted via phone (262) 820-3093.

Contact Information

Primary practice address
N57W24950 N Corporate Cir Prohealth Care Medical Associates Inc. Sussex WI 53089-4383
Phone: (262) 820-3093
Fax: (262) 532-9598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 28637 Wisconsin

Profile Details

NPI number 1609849140
LBN Legal business name Crisostomo, Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 23rd, 2011 - about 13 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 1609849140 NPPES
Wisconsin MEDICAID 30844600

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