Holmburg, Charles

Holmburg, Charles is an individual health care provider with primary practice located at W180N7950 Town Hall Rd , Menomonee Falls WI 53051-4049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Holmburg, Charles can be contacted via phone (262) 255-2500.

Contact Information

Primary practice address
W180N7950 Town Hall Rd Menomonee Falls WI 53051-4049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16993 Wisconsin

Profile Details

NPI number 1255304309
LBN Legal business name Holmburg, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 5th, 2010 - about 14 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 1255304309 NPPES
Wisconsin MEDICAID 31226000

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