Pulito, Domenic J
Pulito, Domenic J is an sole proprietor health care provider with primary practice located at 3619 W Mulberry Dr , Mequon WI 53092-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pulito, Domenic J can be contacted via phone (414) 351-3500.Contact Information
Primary practice address
3619 W Mulberry Dr
Mequon WI 53092-2752
Phone: (414) 351-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22909 | Wisconsin |
Profile Details
| NPI number | 1871599712 |
|---|---|
| LBN Legal business name | Pulito, Domenic J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Feb 3rd, 2022 - about 2 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 | 1871599712 | NPPES |
| Wisconsin | MEDICAID | 30320600 |
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