Frost, Samuel Isaac

Frost, Samuel Isaac is an individual health care provider with primary practice located at 4025 N 92Nd St , Wauwatosa WI 53222-1613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Frost, Samuel Isaac can be contacted via phone (608) 213-6295.

Contact Information

Primary practice address
4025 N 92Nd St Wauwatosa WI 53222-1613
Phone: (608) 213-6295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036147654 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56969 Wisconsin

Profile Details

NPI number 1861704223
LBN Legal business name Frost, Samuel Isaac
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Oct 11th, 2023 - about 3 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 1861704223 NPPES
Wisconsin MEDICAID 1861704223

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