Protiva, John M

Protiva, John M is an sole proprietor health care provider with primary practice located at 1920 Westmoor Ter , Elm Grove WI 53122-1063. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Protiva, John M can be contacted via phone (262) 827-0600.

Contact Information

Primary practice address
1920 Westmoor Ter Elm Grove WI 53122-1063
Fax: (262) 827-0999
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 16857 Wisconsin

Profile Details

NPI number 1215362462
LBN Legal business name Protiva, John M
Credentials INSURANCE AGENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2013
Last updated Sep 6th, 2013 - about 13 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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