Free, Dorothy Katherine

Free, Dorothy Katherine is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-8323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Free, Dorothy Katherine can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-8323
Phone: (262) 948-5600
Fax: (262) 948-5735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP127249 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 7903-033 Wisconsin

Profile Details

NPI number 1053700682
LBN Legal business name Free, Dorothy Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2015
Last updated Apr 14th, 2022 - about 3 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 1053700682 NPPES
Wisconsin MEDICAID 100072228

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