Caballero, Gerardo A

Caballero, Gerardo A is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 330, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Caballero, Gerardo A can be contacted via phone (414) 649-3240.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Suite 330 Milwaukee WI 53215-3669
Phone: (414) 649-3240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26260 Wisconsin

Profile Details

NPI number 1194793380
LBN Legal business name Caballero, Gerardo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194793380 NPPES
Wisconsin MEDICAID 31486700

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