George, Chandy V

George, Chandy V is an sole proprietor health care provider with primary practice located at 635 N 35Th St , Milwaukee WI 53208-3872. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. George, Chandy V can be contacted via phone (414) 344-5040.

Contact Information

Primary practice address
635 N 35Th St Milwaukee WI 53208-3872
Fax: (414) 344-7051
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20257 Wisconsin

Profile Details

NPI number 1710095526
LBN Legal business name George, Chandy V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1710095526 NPPES
Wisconsin MEDICAID 30138300

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