Quejada, Maria Estelita

Quejada, Maria Estelita is an individual health care provider with primary practice located at 6809 122Nd Ave , Kenosha WI 53142-7335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Quejada, Maria Estelita can be contacted via phone (262) 891-6600.

Contact Information

Primary practice address
6809 122Nd Ave Kenosha WI 53142-7335
Phone: (262) 891-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35105 Wisconsin

Profile Details

NPI number 1851408173
LBN Legal business name Quejada, Maria Estelita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 17th, 2023 - about last year

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 1851408173 NPPES
Wisconsin MEDICAID 32361600

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