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:
Health care specialties
| Specialty | Code | License # | 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 14 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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