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Contact Information

WILLIAM A GEORGE IV, ATC/LAT
8700 W WATERTOWN PLANK RD
MILWAUKEE, WI53226-3595
 Phone: 414-805-7111
 Fax: 414-805-8655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for WILLIAM A GEORGE IV · (Male)

NPI # 1568933224
Status Active
Credentials ATC/LAT
Entity Individual
Enumeration date 12/06/2018
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1308-39
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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