Purath, Traci A.

Purath, Traci A. is an individual health care provider with primary practice located at 565 Milwaukee Ave Suite 2-C, Burlington WI 53105-1254. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Purath, Traci A. can be contacted via phone (262) 694-5000.

Contact Information

Primary practice address
565 Milwaukee Ave Suite 2-C Burlington WI 53105-1254
Phone: (262) 694-5000
Fax: (262) 661-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40525-020 Wisconsin

Profile Details

NPI number 1891716700
LBN Legal business name Purath, Traci A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Aug 13th, 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 1891716700 NPPES
Wisconsin MEDICAID 34234000

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