Ihc-Calumet Emergency Physicians, Llc in Milwaukee - Physician Assistant
Ihc-Calumet Emergency Physicians, Llc - NPI 1922056761
Ihc-Calumet Emergency Physicians, Llc is a Physician Assistant in Milwaukee, Wisconsin. Ihc-Calumet Emergency Physicians, Llc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ihc-Calumet Emergency Physicians, Llc is 1922056761. The last update date is 2008-10-20.
Ihc-Calumet Emergency Physicians, Llc's current location address is 111 E Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142906720 and fax number 4142906755. The mailing address for Ihc-Calumet Emergency Physicians, Llc is 111 E Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ihc-Calumet Emergency Physicians, Llc |
|---|---|
| Address | 111 E Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142906720 |
| Fax Number | 4142906755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cierlik A Gregory |
| Telephone Number | 4142906700 |
NPI Number Detail
| NPI Number | 1922056761 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2008-10-20 |
Provider Mailing Address Detail
| Address | 111 E Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532024815 |
| Phone Number | 4142906720 |
| Fax Number | 4142906755 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21285300 | WI | -- | |
| 610475500 | WI | OWCP | |
| 140006671 | WI | WEA |
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What is the Ihc-Calumet Emergency Physicians, Llc's unique identification number?
The Ihc-Calumet Emergency Physicians, Llc has been assigned the NPI (National Provider Identifier) Number 1922056761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ihc-Calumet Emergency Physicians, Llc located?
The Ihc-Calumet Emergency Physicians, Llc is located at 111 E Wisconsin Ave, Milwaukee, WI 532024815.
What is the Ihc-Calumet Emergency Physicians, Llc's specialty and taxonomy code?
The Ihc-Calumet Emergency Physicians, Llc's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922056761 to Ihc-Calumet Emergency Physicians, Llc?
The Ihc-Calumet Emergency Physicians, Llc received its 1922056761 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date were the details related to Ihc-Calumet Emergency Physicians, Llc most recently updated or revised?
The information pertaining to Ihc-Calumet Emergency Physicians, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-20.