Ansari, Aftab A

Ansari, Aftab A is an individual health care provider with primary practice located at 3601 30Th Ave #104 , Kenosha WI 53144. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ansari, Aftab A can be contacted via phone (262) 652-4878.

Contact Information

Primary practice address
3601 30Th Ave #104 Kenosha WI 53144
Phone: (262) 652-4878
Fax: (262) 652-4974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 48834 Colorado
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 21598 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21598 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PT12136 North Dakota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301099576 Michigan

Profile Details

NPI number 1124182068
LBN Legal business name Ansari, Aftab A
Credentials MDSC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 17th, 2015 - about 11 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 1124182068 NPPES
Wisconsin MEDICAID 30186800

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