Listwan, William J.

Listwan, William J. is an sole proprietor health care provider with primary practice located at 555 S 108Th St Quad-Med, West Allis WI 53214-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Listwan, William J. can be contacted via phone (414) 566-8210.

Contact Information

Primary practice address
555 S 108Th St Quad-Med West Allis WI 53214-1100
Phone: (414) 566-8210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16862 Wisconsin

Profile Details

NPI number 1528007028
LBN Legal business name Listwan, William J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jan 4th, 2011 - about 14 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 1528007028 NPPES
Wisconsin MEDICAID 31206600

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