Foote, Peter S

Foote, Peter S is an individual health care provider with primary practice located at 1684 N Prospect Ave , Milwaukee WI 53202-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Foote, Peter S can be contacted via phone (414) 271-2020.

Contact Information

Primary practice address
1684 N Prospect Ave Milwaukee WI 53202-2408
Fax: (414) 272-3932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23046 Wisconsin

Profile Details

NPI number 1134112683
LBN Legal business name Foote, Peter S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Feb 18th, 2010 - about 15 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 1134112683 NPPES
Wisconsin MEDICAID 30547400

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