Matteucci, Robert D
Matteucci, Robert D is an individual health care provider with primary practice located at 8153 S 27Th St Suite 400, Franklin WI 53132-9549. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Matteucci, Robert D can be contacted via phone (414) 761-0981.Contact Information
Primary practice address
8153 S 27Th St Suite 400
Franklin WI 53132-9549
Phone: (414) 761-0981
Fax: (414) 761-1614
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 881025 | Wisconsin |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016005168 | Illinois |
Profile Details
NPI number | 1164426763 |
---|---|
LBN Legal business name | Matteucci, Robert D |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | May 5th, 2010 - about 15 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 | 1164426763 | NPPES |
Wisconsin | MEDICAID | 43237400 |
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