Waldeck, Edward W.

Waldeck, Edward W. is an individual health care provider with primary practice located at 6020 S Packard Ave , Cudahy WI 53110-3028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Waldeck, Edward W. can be contacted via phone (414) 294-4660.

Contact Information

Primary practice address
6020 S Packard Ave Cudahy WI 53110-3028
Phone: (414) 294-4660
Fax: (414) 294-4396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16654-020 Wisconsin

Profile Details

NPI number 1912994807
LBN Legal business name Waldeck, Edward W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 29th, 2013 - about 13 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 1912994807 NPPES
Wisconsin Other 39-1484998E HUMANA
Wisconsin Other 391484998011 HUMANA
Wisconsin Other 391484998 HUMANA
Wisconsin Other 180021822 HUMANA
Wisconsin Other 0800048 HUMANA
Wisconsin MEDICAID 30936100 HUMANA

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