Burg, Kenneth R.

Burg, Kenneth R. is an sole proprietor health care provider with primary practice located at 1 W Lincoln St , Waupun WI 53963-1949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Burg, Kenneth R. can be contacted via phone (920) 324-5577.

Contact Information

Primary practice address
1 W Lincoln St Waupun WI 53963-1949
Phone: (920) 324-5577
Fax: (920) 324-6288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 47945 Wisconsin

Profile Details

NPI number 1558311613
LBN Legal business name Burg, Kenneth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Nov 16th, 2012 - 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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