Kiefer, Patrick James
Kiefer, Patrick James is an individual health care provider with primary practice located at 4500 Oak Ridge Cir , De Pere WI 54115-9267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Kiefer, Patrick James can be contacted via phone (920) 336-1662.Contact Information
Primary practice address
4500 Oak Ridge Cir
De Pere WI 54115-9267
Phone: (920) 336-1662
Fax: (920) 336-5745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 28008 | Wisconsin |
Profile Details
| NPI number | 1023034832 |
|---|---|
| LBN Legal business name | Kiefer, Patrick James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 20th, 2012 - about 13 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 | 1023034832 | NPPES |
| Wisconsin | MEDICAID | 30745300 |
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