Miceli, Giuseppe S
Miceli, Giuseppe S is an individual health care provider with primary practice located at 7201 Green Bay Rd Suite A, Kenosha WI 53142-3532. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Miceli, Giuseppe S can be contacted via phone (262) 925-6565.Contact Information
Primary practice address
7201 Green Bay Rd Suite A
Kenosha WI 53142-3532
Phone: (262) 925-6565
Fax: (262) 697-4291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 524-025 | Wisconsin |
Profile Details
| NPI number | 1619943354 |
|---|---|
| LBN Legal business name | Miceli, Giuseppe S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 4th, 2011 - about 13 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 | 1619943354 | NPPES |
| Wisconsin | MEDICAID | 43208700 |
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