George, Anthony D

George, Anthony D is an individual health care provider with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. George, Anthony D can be contacted via phone (715) 342-7633.

Contact Information

Primary practice address
900 Illinois Ave Stevens Point WI 54481-3114
Fax: (715) 343-3206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39886 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39886 Wisconsin

Profile Details

NPI number 1194827691
LBN Legal business name George, Anthony D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Dec 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194827691 NPPES
Wisconsin Other 39886 STATE LICENSE #
Wisconsin Other 110168056 STATE LICENSE #
Wisconsin MEDICAID 32456600 STATE LICENSE #
Wisconsin Other 36444 STATE LICENSE #
Wisconsin Other 1019240001 STATE LICENSE #

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