Haberman, Kathryn M
Haberman, Kathryn M is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Haberman, Kathryn M can be contacted via phone (262) 434-1000.Contact Information
Primary practice address
36500 Aurora Dr
Summit WI 53066-4899
Phone: (262) 434-1000
Fax: (920) 434-5050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 67118 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 67118 | Wisconsin |
Profile Details
NPI number | 1841686326 |
---|---|
LBN Legal business name | Haberman, Kathryn M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2015 |
Last updated | Sep 21st, 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 | 1841686326 | NPPES |
Wisconsin | MEDICAID | 1841686326 | |
Wisconsin | MEDICAID | 100065608 |
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