Kane, Roxanne J

Kane, Roxanne J is an individual health care provider with primary practice located at 3040 N 117Th St , Wauwatosa WI 53222-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kane, Roxanne J can be contacted via phone (414) 479-9990.

Contact Information

Primary practice address
3040 N 117Th St Wauwatosa WI 53222-4107
Fax: (414) 479-0230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36066 Wisconsin

Profile Details

NPI number 1639164908
LBN Legal business name Kane, Roxanne J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Nov 19th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639164908 NPPES
Wisconsin MEDICAID 32204200

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