Tallar, Matthew T
Tallar, Matthew T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Allergy And Immunology, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Tallar, Matthew T can be contacted via phone (414) 266-6840.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Allergy And Immunology
Milwaukee WI 53226-4874
Phone: (414) 266-6840
Fax: (414) 266-6437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 55777 | Wisconsin |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 55777 | Wisconsin |
Profile Details
| NPI number | 1376785691 |
|---|---|
| LBN Legal business name | Tallar, Matthew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Mar 13th, 2024 - about 2 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 | 1376785691 | NPPES |
| Wisconsin | MEDICAID | 1376785691 |
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