Trader, Joseph Edgar
Trader, Joseph Edgar is an individual health care provider with primary practice located at 501 N 10Th St , Manitowoc WI 54220-4039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Trader, Joseph Edgar can be contacted via phone (920) 682-6376.Contact Information
Primary practice address
501 N 10Th St
Manitowoc WI 54220-4039
Phone: (920) 682-6376
Fax: (920) 682-6778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 18035 | Wisconsin |
Profile Details
| NPI number | 1164513123 |
|---|---|
| LBN Legal business name | Trader, Joseph Edgar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 10th, 2011 - about 14 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 | 1164513123 | NPPES |
| Wisconsin | MEDICAID | 30171800 | |
| Wisconsin | Other | 200010934 |
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