Purtock, Robert

Purtock, Robert is an individual health care provider with primary practice located at 725 American Ave , Waukesha WI 53188-5031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Purtock, Robert can be contacted via phone (262) 544-2011.

Contact Information

Primary practice address
725 American Ave Waukesha WI 53188-5031
Phone: (262) 544-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23846-020 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 23846 Wisconsin

Profile Details

NPI number 1992789390
LBN Legal business name Purtock, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 4th, 2012 - 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 1992789390 NPPES
Other 050064171 RAIL ROAD MEDICARE
MEDICAID 30487900 RAIL ROAD MEDICARE

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