Rincon, Javier A

Rincon, Javier A is an individual health care provider with primary practice located at 801 S 70Th St , West Allis WI 53214-3147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rincon, Javier A can be contacted via phone (414) 773-6600.

Contact Information

Primary practice address
801 S 70Th St West Allis WI 53214-3147
Fax: (414) 773-6656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29828 Wisconsin

Profile Details

NPI number 1639139744
LBN Legal business name Rincon, Javier A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 28th, 2016 - about 9 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 1639139744 NPPES
Wisconsin MEDICAID 31471200

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