Desidero, Stephen J.
Desidero, Stephen J. is an individual health care provider with primary practice located at 14555 W National Ave Suite 170, New Berlin WI 53151-4494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Desidero, Stephen J. can be contacted via phone (262) 827-3636.Contact Information
Primary practice address
14555 W National Ave Suite 170
New Berlin WI 53151-4494
Phone: (262) 827-3636
Fax: (262) 827-3626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36839 | Wisconsin |
Profile Details
| NPI number | 1871586818 |
|---|---|
| LBN Legal business name | Desidero, Stephen J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Nov 30th, 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 | 1871586818 | NPPES |
| Wisconsin | Other | P00627722 | RR MEDICARE |
| Wisconsin | MEDICAID | 32163400 | RR MEDICARE |
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