Mahoney, James L

Mahoney, James L is an individual health care provider with primary practice located at 3111 W Rawson Ave Suite 225, Franklin WI 53132-9417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mahoney, James L can be contacted via phone (414) 761-3100.

Contact Information

Primary practice address
3111 W Rawson Ave Suite 225 Franklin WI 53132-9417
Phone: (414) 761-3100
Fax: (414) 761-3111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25990 Wisconsin

Profile Details

NPI number 1679541866
LBN Legal business name Mahoney, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679541866 NPPES
Wisconsin MEDICAID 31778100

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