Listwan, William J.
Listwan, William J. is an sole proprietor health care provider with primary practice located at 555 S 108Th St Quad-Med, West Allis WI 53214-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Listwan, William J. can be contacted via phone (414) 566-8210.Contact Information
Primary practice address
555 S 108Th St Quad-Med
West Allis WI 53214-1100
Phone: (414) 566-8210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16862 | Wisconsin |
Profile Details
| NPI number | 1528007028 |
|---|---|
| LBN Legal business name | Listwan, William J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jan 4th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528007028 | NPPES |
| Wisconsin | MEDICAID | 31206600 |
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