Ayala, E T

Ayala, E T is an individual health care provider with primary practice located at 92 E Division St , Fond Du Lac WI 54935-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ayala, E T can be contacted via phone (920) 921-0560.

Contact Information

Primary practice address
92 E Division St Fond Du Lac WI 54935-4305
Phone: (920) 921-0560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21604 Wisconsin

Profile Details

NPI number 1821089541
LBN Legal business name Ayala, E T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1821089541 NPPES
Wisconsin Other 12617 DEAN
Wisconsin Other 21604 DEAN
Wisconsin Other WI01B2 DEAN
Wisconsin MEDICAID 30334700 DEAN

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