Pryba, David E

Pryba, David E is an individual health care provider with primary practice located at 11211 W Lincoln Ave Lincoln Avenue Clinic, West Allis WI 53227-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pryba, David E can be contacted via phone (414) 456-5950.

Contact Information

Primary practice address
11211 W Lincoln Ave Lincoln Avenue Clinic West Allis WI 53227-1035
Phone: (414) 456-5950
Fax: (414) 327-7639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35625 Wisconsin

Profile Details

NPI number 1770536534
LBN Legal business name Pryba, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 23rd, 2014 - about 10 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 1770536534 NPPES
Other 002000217Q HUMANA
MEDICAID 1770536534 HUMANA

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