Dias, Jose C

Dias, Jose C is an individual health care provider with primary practice located at 3329 Express Ct , Appleton WI 54915-3278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dias, Jose C can be contacted via phone (920) 733-5900.

Contact Information

Primary practice address
3329 Express Ct Appleton WI 54915-3278
Phone: (920) 733-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39485 Wisconsin

Profile Details

NPI number 1255325916
LBN Legal business name Dias, Jose C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Nov 27th, 2023 - about 2 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 1255325916 NPPES
Wisconsin MEDICAID 32392800

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