Pinkonsly, William Russell

Pinkonsly, William Russell is an individual health care provider with primary practice located at N2934 Highway 22 , Wautoma WI 54982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pinkonsly, William Russell can be contacted via phone (920) 787-4613.

Contact Information

Primary practice address
N2934 Highway 22 Wautoma WI 54982
Phone: (920) 787-4613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48295 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48295 Wisconsin

Profile Details

NPI number 1295837797
LBN Legal business name Pinkonsly, William Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Jul 21st, 2016 - about 9 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 1295837797 NPPES
Wisconsin Other 4136296002 UHC MA DIAMOND PROV #
Wisconsin Other P00252127 UHC MA DIAMOND PROV #
Wisconsin MEDICAID 43523600 UHC MA DIAMOND PROV #
Wisconsin Other 47763 UHC MA DIAMOND PROV #
Wisconsin Other 48295 UHC MA DIAMOND PROV #

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