Weltzin, Theodore Eldon

Weltzin, Theodore Eldon is an individual health care provider with primary practice located at 2500 N Mayfair Rd Ste 600 , Wauwatosa WI 53226-1428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Weltzin, Theodore Eldon can be contacted via phone (414) 727-4455.

Contact Information

Primary practice address
2500 N Mayfair Rd Ste 600 Wauwatosa WI 53226-1428
Phone: (414) 727-4455
Fax: (414) 727-4690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35333 Wisconsin

Profile Details

NPI number 1457343923
LBN Legal business name Weltzin, Theodore Eldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 23rd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457343923 NPPES
Wisconsin MEDICAID 32019500

Popular Providers