Gassner, Kevin J

Gassner, Kevin J is an individual health care provider with primary practice located at 2920 Superior Ave , Sheboygan WI 53081-1944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gassner, Kevin J can be contacted via phone (920) 458-3791.

Contact Information

Primary practice address
2920 Superior Ave Sheboygan WI 53081-1944
Phone: (920) 458-3791
Fax: (920) 458-3783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27632 Wisconsin

Profile Details

NPI number 1275521965
LBN Legal business name Gassner, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Nov 2nd, 2011 - about 14 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 1275521965 NPPES
Wisconsin MEDICAID 30754800

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