Garretto, Mario
Garretto, Mario is an individual health care provider with primary practice located at 6308 8Th Ave Ste 202, Kenosha WI 53143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Garretto, Mario can be contacted via phone (262) 653-5330.Contact Information
Primary practice address
6308 8Th Ave Ste 202
Kenosha WI 53143
Phone: (262) 653-5330
Fax: (262) 653-5346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25077 | Wisconsin |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25077 | Wisconsin |
Profile Details
| NPI number | 1497701809 |
|---|---|
| LBN Legal business name | Garretto, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Mar 13th, 2008 - about 16 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 | 1497701809 | NPPES |
| Wisconsin | MEDICAID | 30504200 |
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