Idarraga, Samuel H
Idarraga, Samuel H is an individual health care provider with primary practice located at 2645 N Mayfair Rd Suite 200, Wauwatosa WI 53226-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Idarraga, Samuel H can be contacted via phone (414) 479-1800.Contact Information
Primary practice address
2645 N Mayfair Rd Suite 200
Wauwatosa WI 53226-1304
Phone: (414) 479-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33511-020 | Wisconsin |
Profile Details
| NPI number | 1700850070 |
|---|---|
| LBN Legal business name | Idarraga, Samuel H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 2nd, 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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