National Provider Identifier Database

EASTERN WISCONSIN COLONOSCOPY GASTROENTEROLOGY SC
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
1414 N TAYLOR DR STE 144
SHEBOYGAN, WI53081-1988
Phone: 920-457-4400
Fax: 920-457-4422
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC

NPI Number 1457317463
Legal business name
LBN
EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Authorized official DAVID HALLER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/26/2006
Last updated 06/24/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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