Dernell, Carl Scott

Dernell, Carl Scott is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dernell, Carl Scott can be contacted via phone (414) 805-6966.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 75523 Wisconsin

Profile Details

NPI number 1962962258
LBN Legal business name Dernell, Carl Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2024 - about 8 months 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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