Siddiqui, Nadeem A

Siddiqui, Nadeem A is an individual health care provider with primary practice located at 2700 E Enterprise Ave, Unit C, Appleton WI 54913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Siddiqui, Nadeem A can be contacted via phone (920) 738-7300.

Contact Information

Primary practice address
2700 E Enterprise Ave, Unit C Appleton WI 54913
Fax: (920) 738-7301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35007 Wisconsin

Profile Details

NPI number 1770577785
LBN Legal business name Siddiqui, Nadeem A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jun 12th, 2019 - about 6 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 1770577785 NPPES
Wisconsin MEDICAID 33328600

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