Swenson, Eldon J
Swenson, Eldon J is an individual health care provider with primary practice located at 620 S 76Th St Suite 240, Milwaukee WI 53214-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Swenson, Eldon J can be contacted via phone (414) 988-6350.Contact Information
Primary practice address
620 S 76Th St Suite 240
Milwaukee WI 53214-1599
Phone: (414) 988-6350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20106-20 | Wisconsin |
Profile Details
| NPI number | 1063496131 |
|---|---|
| LBN Legal business name | Swenson, Eldon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Aug 25th, 2011 - 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 | 1063496131 | NPPES |
| Wisconsin | MEDICAID | 310013700 |
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