Magoline, Steven A

Magoline, Steven A is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Magoline, Steven A can be contacted via phone (920) 926-8616.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 926-8616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43006 Wisconsin

Profile Details

NPI number 1871575076
LBN Legal business name Magoline, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Dec 31st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871575076 NPPES
Wisconsin Other 200040763 RAILROAD MEDICARE
Wisconsin MEDICAID 34073000 RAILROAD MEDICARE

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