Longo, Walter L
Longo, Walter L is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Longo, Walter L can be contacted via phone (414) 805-4600.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226
Phone: (414) 805-4600
Fax: (414) 805-6805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 24712 | Wisconsin |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 24712 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 24712 | Wisconsin |
Profile Details
| NPI number | 1629044649 |
|---|---|
| LBN Legal business name | Longo, Walter L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Aug 5th, 2022 - about 2 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 | 1629044649 | NPPES |
| Wisconsin | MEDICAID | 1629044649 |
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