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
Phone: (715) 735-5225
Fax: (715) 735-5388
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568478519 | NPPES |
| Wisconsin | Other | 49530-020 | MEDICAL LICENSE |
| Wisconsin | Other | 43076 | MEDICAL LICENSE |
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