Kikta, Michael J

Kikta, Michael J is an individual health care provider with primary practice located at 1728 Red Oak Ln , Rockford IL 61107-2763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kikta, Michael J can be contacted via phone (815) 227-1068.

Contact Information

Primary practice address
1728 Red Oak Ln Rockford IL 61107-2763
Phone: (815) 227-1068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036067268 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 66280 Wisconsin
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036067268 Illinois

Profile Details

NPI number 1457357592
LBN Legal business name Kikta, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 5th, 2022 - about 2 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 1457357592 NPPES
Illinois Other 204575400 OWCP
Illinois Other 194341 OWCP
Illinois MEDICAID 036067268 2 OWCP

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