Entwistle, Warren R

Entwistle, Warren R is an individual health care provider with primary practice located at 945 N 12Th St , Milwaukee WI 53233-1305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Entwistle, Warren R can be contacted via phone (414) 219-5076.

Contact Information

Primary practice address
945 N 12Th St Milwaukee WI 53233-1305
Phone: (414) 219-5076
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101015260 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 56606 Wisconsin

Profile Details

NPI number 1225004310
LBN Legal business name Entwistle, Warren R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225004310 NPPES
Wisconsin MEDICAID 100020907
Wisconsin MEDICAID 1225004310

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