Wells, Robert G
Wells, Robert G is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 355, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wells, Robert G can be contacted via phone (414) 649-6430.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Suite 355
Milwaukee WI 53215-3669
Phone: (414) 649-6430
Fax: (414) 649-5563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 104663 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 23901 | Wisconsin |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 27019 | Oklahoma |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036.098953 | Illinois |
Profile Details
NPI number | 1376592832 |
---|---|
LBN Legal business name | Wells, Robert G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Jan 23rd, 2019 - about 6 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 | 1376592832 | NPPES |
Illinois | Other | 202926 | GROUP PTAN |
Illinois | MEDICAID | 313-96200 | GROUP PTAN |
Illinois | MEDICAID | 036098953 | GROUP PTAN |
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