Waters, David A

Waters, David A is an individual health care provider with primary practice located at 1032 S Cesar E Chavez Dr , Milwaukee WI 53204-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Waters, David A can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28809 Wisconsin

Profile Details

NPI number 1467458810
LBN Legal business name Waters, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about 3 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 1467458810 NPPES
Wisconsin MEDICAID 30833300
Wisconsin Other 004000236A
Wisconsin Other 468311194000
Wisconsin Other 7767338

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