Kinservik, Margo
Kinservik, Margo is an individual health care provider with primary practice located at 130 2Nd St Pediatric Gastroenterology, Neenah WI 54956-2883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Kinservik, Margo can be contacted via phone (920) 969-7970.Contact Information
Primary practice address
130 2Nd St Pediatric Gastroenterology
Neenah WI 54956-2883
Phone: (920) 969-7970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 47834-030 | Wisconsin |
Profile Details
| NPI number | 1508810870 |
|---|---|
| LBN Legal business name | Kinservik, Margo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Feb 4th, 2014 - about 11 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 | 1508810870 | NPPES |
| Other | 008006261U | HUMANA | |
| MEDICAID | 1508810870 | HUMANA |
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