Urban, Jeffrey R.

Urban, Jeffrey R. is an individual health care provider with primary practice located at 2820 Roosevelt Road , Marinette WI 54143-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Urban, Jeffrey R. can be contacted via phone (715) 735-5225.

Contact Information

Primary practice address
2820 Roosevelt Road Marinette WI 54143-3834
Fax: (715) 735-5388
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49530-020 Wisconsin

Profile Details

NPI number 1568478519
LBN Legal business name Urban, Jeffrey R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568478519 NPPES
Wisconsin Other 49530-020 MEDICAL LICENSE
Wisconsin Other 43076 MEDICAL LICENSE

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