Siddique, Ishrat
Siddique, Ishrat is an individual health care provider with primary practice located at 2561 N 29Th St , Milwaukee WI 53210-3116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Siddique, Ishrat can be contacted via phone (414) 264-5338.Contact Information
Primary practice address
2561 N 29Th St
Milwaukee WI 53210-3116
Phone: (414) 264-5338
Fax: (414) 264-5625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49096 | Wisconsin |
Profile Details
| NPI number | 1639119381 |
|---|---|
| LBN Legal business name | Siddique, Ishrat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 23rd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639119381 | NPPES |
| Wisconsin | MEDICAID | 34847900 |
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