Siddiqui, Ali H
Siddiqui, Ali H is an individual health care provider with primary practice located at 4805 S Moorland Rd Moorland Reserve, New Berlin WI 53151-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Siddiqui, Ali H can be contacted via phone (262) 798-7200.Contact Information
Primary practice address
4805 S Moorland Rd Moorland Reserve
New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 336082767 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 65022 | Wisconsin |
Profile Details
NPI number | 1922210178 |
---|---|
LBN Legal business name | Siddiqui, Ali H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Feb 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922210178 | NPPES |
Illinois | MEDICAID | 0361214262 | |
Illinois | Other | P00968583 |
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