Carrera, Guillermo

Carrera, Guillermo is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carrera, Guillermo can be contacted via phone (414) 805-3044.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Fax: (414) 259-9290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20857 Wisconsin

Profile Details

NPI number 1821049214
LBN Legal business name Carrera, Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 14th, 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 1821049214 NPPES
Wisconsin MEDICAID 30154800
Wisconsin Other 002000112
Wisconsin MEDICAID 1821049214

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