Kasukonis, James A

Kasukonis, James A is an individual health care provider with primary practice located at 824 Illinois Avenue , Stevens Point WI 54481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kasukonis, James A can be contacted via phone (715) 342-7500.

Contact Information

Primary practice address
824 Illinois Avenue Stevens Point WI 54481
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31058 Wisconsin

Profile Details

NPI number 1447305503
LBN Legal business name Kasukonis, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated May 23rd, 2008 - about 16 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 1447305503 NPPES
Wisconsin MEDICAID 30046400

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