Sandlow, Jay I

Sandlow, Jay I is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Urology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sandlow, Jay I can be contacted via phone (414) 805-0805.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Urology Milwaukee WI 53226-3522
Fax: (414) 805-0771
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 45676 Wisconsin

Profile Details

NPI number 1063465797
LBN Legal business name Sandlow, Jay I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 10th, 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 1063465797 NPPES
Other 005806261P HUMANA
MEDICAID 1063465797 HUMANA

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