Prebble, Elisa Trimarco

Prebble, Elisa Trimarco is an individual health care provider with primary practice located at 1432 W Forest Home Ave , Milwaukee WI 53204-3228. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Prebble, Elisa Trimarco can be contacted via phone (414) 567-5400.

Contact Information

Primary practice address
1432 W Forest Home Ave Milwaukee WI 53204-3228
Phone: (414) 567-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77260 Wisconsin

Profile Details

NPI number 1942763024
LBN Legal business name Prebble, Elisa Trimarco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2019
Last updated Aug 30th, 2022 - about 3 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 1942763024 NPPES
Wisconsin MEDICAID 1942763024

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