Dernbach, Kerry S

Dernbach, Kerry S is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Dernbach, Kerry S can be contacted via phone (715) 393-1000.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476
Phone: (715) 393-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 900 Wisconsin

Profile Details

NPI number 1306944152
LBN Legal business name Dernbach, Kerry S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
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 1306944152 NPPES
Wisconsin MEDICAID 43239100

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