Humes, Pamela Wilson

Humes, Pamela Wilson is an individual health care provider with primary practice located at 3915 W Capitol Dr , Milwaukee WI 53216-2528. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Humes, Pamela Wilson can be contacted via phone (414) 444-9242.

Contact Information

Primary practice address
3915 W Capitol Dr Milwaukee WI 53216-2528
Phone: (414) 444-9242
Fax: (414) 444-9252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 890-025 Wisconsin

Profile Details

NPI number 1104925965
LBN Legal business name Humes, Pamela Wilson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 9th, 2015 - 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 1104925965 NPPES
Wisconsin MEDICAID 43237100
Wisconsin Other P00148211

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