Slocum, Peter A
Slocum, Peter A is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 306, Milwaukee WI 53211-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Slocum, Peter A can be contacted via phone (414) 298-7106.Contact Information
Primary practice address
2350 N Lake Dr Suite 306
Milwaukee WI 53211-4528
Phone: (414) 298-7106
Fax: (414) 298-7195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 29305 | Wisconsin |
Profile Details
NPI number | 1891788113 |
---|---|
LBN Legal business name | Slocum, Peter A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891788113 | NPPES |
Wisconsin | MEDICAID | 1891788113 |
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