Prudlow, William F
Prudlow, William F is an individual health care provider with primary practice located at 9200 West Wisconsin Froedtert & Med College Clin - West, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Prudlow, William F can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
9200 West Wisconsin Froedtert & Med College Clin - West
Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 17668 | Wisconsin |
Profile Details
| NPI number | 1104877620 |
|---|---|
| LBN Legal business name | Prudlow, William F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104877620 | NPPES |
| Wisconsin | MEDICAID | 30229700 |
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