Distler, Kenneth W
Distler, Kenneth W is an sole proprietor health care provider with primary practice located at 2130 Marshall Ct , Saginaw MI 48602-3351. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Distler, Kenneth W can be contacted via phone (989) 799-0600.Contact Information
Primary practice address
2130 Marshall Ct
Saginaw MI 48602-3351
Phone: (989) 799-0600
Fax: (989) 799-6080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | KD046952 | Michigan |
Profile Details
| NPI number | 1598849903 |
|---|---|
| LBN Legal business name | Distler, Kenneth W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598849903 | NPPES |
| Michigan | MEDICAID | 1681561 | |
| Michigan | Other | KD046952 |
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