Perez Botero, Juliana
Perez Botero, Juliana is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Perez Botero, Juliana can be contacted via phone (414) 805-4600.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-4600
Fax: (262) 798-7701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 56682 | Minnesota |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 67665 | Wisconsin |
Profile Details
NPI number | 1396023321 |
---|---|
LBN Legal business name | Perez Botero, Juliana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2011 |
Last updated | Apr 30th, 2024 - about last year |
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 | 1396023321 | NPPES |
Wisconsin | MEDICAID | 1396023321 |
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