Trejo, Isaac J
Trejo, Isaac J is an individual health care provider with primary practice located at 4100 S Howell Ave , Milwaukee WI 53207-4410. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Trejo, Isaac J can be contacted via phone (414) 483-5566.Contact Information
Primary practice address
4100 S Howell Ave
Milwaukee WI 53207-4410
Phone: (414) 483-5566
Fax: (866) 263-5456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 708 | Wisconsin |
Profile Details
| NPI number | 1023009891 |
|---|---|
| LBN Legal business name | Trejo, Isaac J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1023009891 | NPPES |
| Wisconsin | MEDICAID | 43220700 |
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