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
Fax: (920) 434-5050
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1841686326 NPPES
Wisconsin MEDICAID 1841686326
Wisconsin MEDICAID 100065608

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