Tassone, J Channing
Tassone, J Channing is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Orthopaedic Surgery, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tassone, J Channing can be contacted via phone (414) 337-7320.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Orthopaedic Surgery
Milwaukee WI 53226-4874
Phone: (414) 337-7320
Fax: (414) 337-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 39164 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 39164 | Wisconsin |
Profile Details
| NPI number | 1629022546 |
|---|---|
| LBN Legal business name | Tassone, J Channing |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| 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 | 1629022546 | NPPES |
| Other | 004000261T | HUMANA | |
| MEDICAID | 1629022546 | HUMANA |
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