Dardis, Kevin J

Dardis, Kevin J is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dardis, Kevin J can be contacted via phone (608) 756-6611.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548-2940
Phone: (608) 756-6611
Fax: (608) 756-6177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53250-21 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036090958 Illinois

Profile Details

NPI number 1609894526
LBN Legal business name Dardis, Kevin J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 11th, 2017 - about 7 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 1609894526 NPPES
Illinois Other P00959255DR7136 RR MEDICARE
Illinois MEDICAID 1609894526 RR MEDICARE
Illinois Other P00767435CD3624 RR MEDICARE
Illinois MEDICAID 036090958 1 RR MEDICARE
Illinois Other 1609894526 RR MEDICARE
Illinois Other DARDIKEV RR MEDICARE

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