Sherkow, Larry H

Sherkow, Larry H is an sole proprietor health care provider with primary practice located at 5760 W Lake Dr , West Bend WI 53095-8447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sherkow, Larry H can be contacted via phone (262) 297-1267.

Contact Information

Primary practice address
5760 W Lake Dr West Bend WI 53095-8447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20178 Wisconsin

Profile Details

NPI number 1003816042
LBN Legal business name Sherkow, Larry H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Sep 10th, 2008 - about 16 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 1003816042 NPPES
Wisconsin MEDICAID 31371100

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