Ihde, Deborah A
Ihde, Deborah A is an individual health care provider with primary practice located at 2500 E Capitol Dr , Appleton WI 54911-8735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ihde, Deborah A can be contacted via phone (920) 731-5811.Contact Information
Primary practice address
2500 E Capitol Dr
Appleton WI 54911-8735
Phone: (920) 731-5811
Fax: (920) 738-6293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40156 | Wisconsin |
Profile Details
| NPI number | 1053317594 |
|---|---|
| LBN Legal business name | Ihde, Deborah A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jan 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053317594 | NPPES |
| Wisconsin | MEDICAID | 32498800 |
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