Maggiolino, Giacomo
Maggiolino, Giacomo is an individual health care provider with primary practice located at 8501 75Th St Ste J , Kenosha WI 53142-7602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Maggiolino, Giacomo can be contacted via phone (262) 697-8030.Contact Information
Primary practice address
8501 75Th St Ste J
Kenosha WI 53142-7602
Phone: (262) 697-8030
Fax: (262) 697-6157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 53395-020 | Wisconsin |
Profile Details
| NPI number | 1699924100 |
|---|---|
| LBN Legal business name | Maggiolino, Giacomo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2008 |
| Last updated | Jul 25th, 2023 - about last year |
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 | 1699924100 | NPPES |
| Wisconsin | Other | 53395-020 | STATE LICENSE |
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