Divgi, Ajit B

Divgi, Ajit B is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd Kraemer Cancer Care Center, West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Divgi, Ajit B can be contacted via phone (262) 836-7200.

Contact Information

Primary practice address
3200 Pleasant Valley Rd Kraemer Cancer Care Center West Bend WI 53095-9274
Phone: (262) 836-7200
Fax: (262) 334-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 21657 Wisconsin

Profile Details

NPI number 1568453223
LBN Legal business name Divgi, Ajit B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 10th, 2014 - about 11 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 1568453223 NPPES
Wisconsin MEDICAID 1568453223

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