Israelstam, David Michael
Israelstam, David Michael is an sole proprietor health care provider with primary practice located at 330 S Whitney Way Suite 104, Madison WI 53705-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Israelstam, David Michael can be contacted via phone (608) 236-0450.Contact Information
Primary practice address
330 S Whitney Way Suite 104
Madison WI 53705-4638
Phone: (608) 236-0450
Fax: (608) 236-0458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17772 | Wisconsin |
Profile Details
| NPI number | 1578560744 |
|---|---|
| LBN Legal business name | Israelstam, David Michael |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2005 |
| Last updated | Nov 10th, 2008 - about 16 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 | 1578560744 | NPPES |
| Wisconsin | MEDICAID | 30497800 |
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