Mauch, Edward James
Mauch, Edward James is an individual health care provider with primary practice located at 265 Griffin St E , Amery WI 54001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mauch, Edward James can be contacted via phone (715) 268-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53097 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57240 | Wisconsin |
Profile Details
| NPI number | 1407082639 |
|---|---|
| LBN Legal business name | Mauch, Edward James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2009 |
| Last updated | Jul 16th, 2018 - about 7 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 | 1407082639 | NPPES |
| Minnesota | MEDICAID | 1407082639 | |
| Minnesota | Other | 1407082639 | |
| Minnesota | Other | P00860779 | |
| Minnesota | Other | 01-42339 |
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