Bettag, Steven Mark

Bettag, Steven Mark is an individual health care provider with primary practice located at 1621 N Taylor Dr , Sheboygan WI 53081-1990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Bettag, Steven Mark can be contacted via phone (920) 458-7433.

Contact Information

Primary practice address
1621 N Taylor Dr Sheboygan WI 53081-1990
Fax: (920) 452-3594
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 36813-020 Wisconsin

Profile Details

NPI number 1669529608
LBN Legal business name Bettag, Steven Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1669529608 NPPES
Wisconsin MEDICAID 32158500

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