Delisle, Dorothy
Delisle, Dorothy is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc., Waukesha WI 53188-1135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Delisle, Dorothy can be contacted via phone (262) 574-8050.Contact Information
Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc.
Waukesha WI 53188-1135
Phone: (262) 574-8050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37892 | Wisconsin |
Profile Details
| NPI number | 1699748137 |
|---|---|
| LBN Legal business name | Delisle, Dorothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 23rd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699748137 | NPPES |
| Wisconsin | MEDICAID | 32263100 |
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