Kallas, Gerald J.
Kallas, Gerald J. is an sole proprietor health care provider with primary practice located at 1437 N Summit Ave , Oconomowoc WI 53066-9461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kallas, Gerald J. can be contacted via phone (414) 322-1434.Contact Information
Primary practice address
1437 N Summit Ave
Oconomowoc WI 53066-9461
Phone: (414) 322-1434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14655-20 | Wisconsin |
Profile Details
| NPI number | 1770959462 |
|---|---|
| LBN Legal business name | Kallas, Gerald J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2015 |
| Last updated | Aug 17th, 2015 - about 10 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 | 1770959462 | NPPES |
| Wisconsin | MEDICAID | 14655-20 |
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