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Contact Information

ALLERGIC DISEASES SC
11121 WEST OKLAHOMA AVENUE
WEST ALLIS, WI53227
 Phone: 414-545-1111
 Fax: 414-545-1144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for ALLERGIC DISEASES SC · (Female)

NPI # 1609898287
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2006
Last updated 06/24/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32694400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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