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
Fax: (414) 298-7195
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891788113 NPPES
Wisconsin MEDICAID 1891788113

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