Gerlach, Diane M
Gerlach, Diane M 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 Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gerlach, Diane M can be contacted via phone (262) 948-6710.Contact Information
Primary practice address
10400 75Th St
Kenosha WI 53142-8323
Phone: (262) 948-6710
Fax: (262) 948-6780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37806 | Wisconsin |
Profile Details
| NPI number | 1689789687 |
|---|---|
| LBN Legal business name | Gerlach, Diane M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689789687 | NPPES |
| Wisconsin | MEDICAID | 30082200 |
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