Heidle, Kenneth J
Heidle, Kenneth J is an individual health care provider with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heidle, Kenneth J can be contacted via phone (414) 290-6720.Contact Information
Primary practice address
9555 76Th St
Pleasant Prairie WI 53158-1984
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OT015080 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 67107-21 | Wisconsin |
Profile Details
| NPI number | 1083059604 |
|---|---|
| LBN Legal business name | Heidle, Kenneth J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2013 |
| Last updated | Dec 28th, 2021 - 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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