Geroulis, Sophos Georgio

Geroulis, Sophos Georgio is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Geroulis, Sophos Georgio can be contacted via phone (262) 434-5000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 49566-020 Wisconsin
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 49566-020 Wisconsin
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 49566-020 Wisconsin

Profile Details

NPI number 1295820637
LBN Legal business name Geroulis, Sophos Georgio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 28th, 2017 - about 7 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 1295820637 NPPES
Wisconsin MEDICAID 1295820637
Wisconsin Other 27-5013474

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