Holmberg, James R

Holmberg, James R is an individual health care provider with primary practice located at 252 Mchenry St Emergency Medicine, Burlington WI 53105-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holmberg, James R can be contacted via phone (262) 767-8217.

Contact Information

Primary practice address
252 Mchenry St Emergency Medicine Burlington WI 53105-1828
Phone: (262) 767-8217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29012-020 Wisconsin

Profile Details

NPI number 1902889736
LBN Legal business name Holmberg, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 29th, 2021 - about 5 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 1902889736 NPPES
Wisconsin MEDICAID 31405000

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