Worthington, Dennis

Worthington, Dennis is an individual health care provider with primary practice located at 201 N Mayfair Road , Wauwatosa WI 53226-4216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Worthington, Dennis can be contacted via phone (414) 259-7480.

Contact Information

Primary practice address
201 N Mayfair Road Wauwatosa WI 53226-4216
Phone: (414) 259-7480
Fax: (414) 259-7481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 23370 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23370 Wisconsin

Profile Details

NPI number 1245224864
LBN Legal business name Worthington, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 6th, 2012 - about 12 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 1245224864 NPPES
Wisconsin MEDICAID 30340800
Wisconsin MEDICAID 1245224864

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