Bacchus, Austin Frank
Bacchus, Austin Frank is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacchus, Austin Frank can be contacted via phone (262) 249-4660.Contact Information
Primary practice address
146 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 249-4660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50490 | Wisconsin |
Profile Details
| NPI number | 1225258171 |
|---|---|
| LBN Legal business name | Bacchus, Austin Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Dec 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225258171 | NPPES |
| Wisconsin | MEDICAID | 34790900 |
Popular Providers
-
Kolar, Britton W
146 E Geneva Sq , Lake Geneva WI 53147-9694 -
Schneider, Garth R
146 E Geneva Square , Lake Geneva WI 53147 -
Kinast-Porter, Susan K.
N2950 State Road 67 , Lake Geneva WI 53147-2655 -
Myron, Gary
350 Peller Rd , Lake Geneva WI 53147-4543 -
Debiase, Norbert G
350 Peller Rd , Lake Geneva WI 53147-4543 -
Benin, Justine
146 E Geneva Sq , Lake Geneva WI 53147-9694 -
Gerber, Greg James
146 E Geneva Square , Lake Geneva WI 53147 -
Zimmermann, Rebecca L
146 E Geneva Sq , Lake Geneva WI 53147