Picotte, James Patrick
Picotte, James Patrick is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Picotte, James Patrick can be contacted via phone (920) 433-6084.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-6084
Fax: (920) 433-5811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301079674 | Michigan |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 4301079674 | Michigan |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 63644-20 | Wisconsin |
Profile Details
NPI number | 1083786511 |
---|---|
LBN Legal business name | Picotte, James Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 13th, 2006 |
Last updated | Apr 23rd, 2018 - about 7 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 | 1083786511 | NPPES |
Wisconsin | MEDICAID | 1083786511 | |
Wisconsin | Other | 300B876050 |
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