Scarlett, Debra Renae

Scarlett, Debra Renae is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 300, Milwaukee WI 53211-4528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Scarlett, Debra Renae can be contacted via phone (414) 298-7100.

Contact Information

Primary practice address
2350 N Lake Dr Suite 300 Milwaukee WI 53211-4528
Fax: (414) 298-7101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 51384 Wisconsin

Profile Details

NPI number 1700802923
LBN Legal business name Scarlett, Debra Renae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 9th, 2016 - about 8 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 1700802923 NPPES
Wisconsin MEDICAID 1700802923

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