Maldonado, Dennys E

Maldonado, Dennys E is an individual health care provider with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Maldonado, Dennys E can be contacted via phone (608) 756-7100.

Contact Information

Primary practice address
3524 E Milwaukee St Janesville WI 53546-1626
Phone: (608) 756-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51273-020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 51273 Wisconsin

Profile Details

NPI number 1700055621
LBN Legal business name Maldonado, Dennys E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Oct 5th, 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 1700055621 NPPES
Wisconsin MEDICAID 34988900
Wisconsin Other P00671703

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