Osteraas, Nicholas Dykman
Osteraas, Nicholas Dykman is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy , Milwaukee WI 53215-3669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Osteraas, Nicholas Dykman can be contacted via phone (414) 385-1922.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy
Milwaukee WI 53215-3669
Phone: (414) 385-1922
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-138224 | Illinois |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 036-138224 | Illinois |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 100154 | Wisconsin |
Profile Details
NPI number | 1790071553 |
---|---|
LBN Legal business name | Osteraas, Nicholas Dykman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2011 |
Last updated | Apr 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790071553 | NPPES |
Wisconsin | MEDICAID | 100223740 |
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