Oldham, Keith T

Oldham, Keith T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Oldham, Keith T can be contacted via phone (414) 266-6550.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Surgery Milwaukee WI 53226-4874
Phone: (414) 266-6550
Fax: (414) 266-6579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 40362 Wisconsin

Profile Details

NPI number 1023060753
LBN Legal business name Oldham, Keith T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 2nd, 2023 - 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 1023060753 NPPES
Other 002000328Q HUMANA
MEDICAID 1023060753 HUMANA

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