Staubach, Zane
Staubach, Zane is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Staubach, Zane can be contacted via phone (414) 328-7950.Contact Information
Primary practice address
8901 W Lincoln Ave
West Allis WI 53227-2409
Phone: (414) 328-7950
Fax: (414) 328-8505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | TL.0005888 | Colorado |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 73434-20 | Wisconsin |
Profile Details
NPI number | 1720594104 |
---|---|
LBN Legal business name | Staubach, Zane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2017 |
Last updated | Aug 3rd, 2020 - about 5 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 | 1720594104 | NPPES |
Wisconsin | Other | 73434-20 | MEDICAL LICENSE |
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