Kachan, Mark Andrew
Kachan, Mark Andrew is an individual health care provider with primary practice located at 2793 Lineville Rd , Green Bay WI 54313-7152. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kachan, Mark Andrew can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
2793 Lineville Rd
Green Bay WI 54313-7152
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MK002134 | Michigan |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1024-25 | Wisconsin |
Profile Details
| NPI number | 1003080102 |
|---|---|
| LBN Legal business name | Kachan, Mark Andrew |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2008 |
| Last updated | Jun 7th, 2013 - about 12 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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