Degiovanni, John Anthony

Degiovanni, John Anthony is an individual health care provider with primary practice located at 35 Prairie Ave Ste. 315, Prairie Du Sac WI 53578-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Degiovanni, John Anthony can be contacted via phone (608) 643-2431.

Contact Information

Primary practice address
35 Prairie Ave Ste. 315 Prairie Du Sac WI 53578-1500
Phone: (608) 643-2431
Fax: (608) 643-0048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18357 Wisconsin

Profile Details

NPI number 1104835156
LBN Legal business name Degiovanni, John Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
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 1104835156 NPPES
Wisconsin MEDICAID 31042800

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