Eapen, Mary
Eapen, Mary is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Division Of Pediatric Hematology/Oncology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Eapen, Mary can be contacted via phone (414) 456-4170.Contact Information
Primary practice address
9000 W Wisconsin Ave Division Of Pediatric Hematology/Oncology
Milwaukee WI 53226-4874
Phone: (414) 456-4170
Fax: (414) 456-6543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 42290 | Wisconsin |
Profile Details
| NPI number | 1306897210 |
|---|---|
| LBN Legal business name | Eapen, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jan 14th, 2013 - about 12 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 | 1306897210 | NPPES |
| Other | 008000315L | HUMANA | |
| MEDICAID | 1306897210 | HUMANA |
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