Sousek, Reid A
Sousek, Reid A is an individual health care provider with primary practice located at 3329 N Richmond St , Appleton WI 54911-1063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sousek, Reid A can be contacted via phone (920) 380-2720.Contact Information
Primary practice address
3329 N Richmond St
Appleton WI 54911-1063
Phone: (920) 380-2720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48401 | Wisconsin |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 48401 | Wisconsin |
Profile Details
| NPI number | 1275501041 |
|---|---|
| LBN Legal business name | Sousek, Reid A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Dec 12th, 2012 - about 13 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 | 1275501041 | NPPES |
| Wisconsin | MEDICAID | 34818800 |
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