Tallar, Matthew T

Tallar, Matthew T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Allergy And Immunology, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Tallar, Matthew T can be contacted via phone (414) 266-6840.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Allergy And Immunology Milwaukee WI 53226-4874
Fax: (414) 266-6437
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55777 Wisconsin
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 55777 Wisconsin

Profile Details

NPI number 1376785691
LBN Legal business name Tallar, Matthew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Mar 13th, 2024 - about 6 months 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 1376785691 NPPES
Wisconsin MEDICAID 1376785691

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