Montemurro, Antonio Ippolito

Montemurro, Antonio Ippolito is an individual health care provider with primary practice located at 9697 Saint Catherines Dr Ste 300 , Pleasant Prairie WI 53158-2118. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Montemurro, Antonio Ippolito can be contacted via phone (262) 656-3338.

Contact Information

Primary practice address
9697 Saint Catherines Dr Ste 300 Pleasant Prairie WI 53158-2118
Phone: (262) 656-3338
Fax: (262) 656-3368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016005538 Illinois
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1031-25 Wisconsin

Profile Details

NPI number 1700126562
LBN Legal business name Montemurro, Antonio Ippolito
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2013
Last updated Jul 21st, 2022 - about 2 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 1700126562 NPPES
Wisconsin MEDICAID 1700126562
Wisconsin Other K400163324

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