Setty, Sampoornima
Setty, Sampoornima is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Setty, Sampoornima can be contacted via phone (608) 782-7300.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (608) 782-7300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07939300 | New Jersey |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 51182-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 51182 | Wisconsin |
Profile Details
NPI number | 1851398283 |
---|---|
LBN Legal business name | Setty, Sampoornima |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Dec 2nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851398283 | NPPES |
New Jersey | MEDICAID | 0079545 |
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