Introcaso, Joseph H.
Introcaso, Joseph H. is an individual health care provider with primary practice located at 333 N Commercial St Suite 100, Neenah WI 54956-2657. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Introcaso, Joseph H. can be contacted via phone (920) 722-1840.Contact Information
Primary practice address
333 N Commercial St Suite 100
Neenah WI 54956-2657
Phone: (920) 722-1840
Fax: (920) 722-7454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036087184 | Illinois |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 53992 | Wisconsin |
Profile Details
NPI number | 1295735348 |
---|---|
LBN Legal business name | Introcaso, Joseph H. |
Credentials | M.D., D.M.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Mar 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295735348 | NPPES |
Illinois | Other | 202926 | GROUP PTAN |
Illinois | MEDICAID | 036087184 | GROUP PTAN |
Illinois | Other | 212545 | GROUP PTAN |
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