Gebreyesus, Esayas T

Gebreyesus, Esayas T is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gebreyesus, Esayas T can be contacted via phone (414) 328-6000.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Phone: (414) 328-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 50044 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50044-20 Wisconsin

Profile Details

NPI number 1609053438
LBN Legal business name Gebreyesus, Esayas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Nov 19th, 2021 - about 4 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 1609053438 NPPES
Wisconsin MEDICAID 35137100

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