Feuerbach, Stephen P

Feuerbach, Stephen P is an individual health care provider with primary practice located at 5923 Green Bay Rd , Kenosha WI 53144-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Feuerbach, Stephen P can be contacted via phone (262) 652-0500.

Contact Information

Primary practice address
5923 Green Bay Rd Kenosha WI 53144-3737
Fax: (262) 652-1928
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30201 Wisconsin

Profile Details

NPI number 1386608677
LBN Legal business name Feuerbach, Stephen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 25th, 2022 - about 2 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 1386608677 NPPES
Other 0801880166 RAILROAD MEDICARE
MEDICAID 31495000 RAILROAD MEDICARE

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