Pan, Cynthia

Pan, Cynthia is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Nephrology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Pan, Cynthia can be contacted via phone (414) 337-7140.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Nephrology Milwaukee WI 53226-4874
Phone: (414) 337-7140
Fax: (414) 337-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 30605 Wisconsin

Profile Details

NPI number 1164474896
LBN Legal business name Pan, Cynthia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 24th, 2014 - 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 1164474896 NPPES
Other 002000129I HUMANA
MEDICAID 1164474896 HUMANA

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