Nersesian, Matthew
Nersesian, Matthew is an individual health care provider with primary practice located at 7950 N Port Washington Rd , Fox Point WI 53217-3131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nersesian, Matthew can be contacted via phone (414) 228-0099.Contact Information
Primary practice address
7950 N Port Washington Rd
Fox Point WI 53217-3131
Phone: (414) 228-0099
Fax: (414) 540-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 56874 | Wisconsin |
Profile Details
| NPI number | 1447575105 |
|---|---|
| LBN Legal business name | Nersesian, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2010 |
| Last updated | Jan 15th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447575105 | NPPES |
| Wisconsin | MEDICAID | 1447575105 |
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