Escobedo-Morse, Antonio

Escobedo-Morse, Antonio is an individual health care provider with primary practice located at 2825 Hunters Trl , Portage WI 53901-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Escobedo-Morse, Antonio can be contacted via phone (608) 742-7161.

Contact Information

Primary practice address
2825 Hunters Trl Portage WI 53901-3429
Phone: (608) 742-7161
Fax: (608) 745-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43691-20 Wisconsin

Profile Details

NPI number 1356399208
LBN Legal business name Escobedo-Morse, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 11th, 2020 - about 6 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 1356399208 NPPES
Wisconsin MEDICAID 1356399208

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