Tremble, Luke J

Tremble, Luke J is an individual health care provider with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tremble, Luke J can be contacted via phone (920) 954-2551.

Contact Information

Primary practice address
2701 E Enterprise Ave Appleton WI 54913-7729
Fax: (920) 954-2554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42501 Wisconsin

Profile Details

NPI number 1427186899
LBN Legal business name Tremble, Luke J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427186899 NPPES
Wisconsin MEDICAID 34174500

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