Klotzbuecher, Karl J
Klotzbuecher, Karl J is an individual health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Klotzbuecher, Karl J can be contacted via phone (920) 802-2100.Contact Information
Primary practice address
3400 Union Ave
Sheboygan WI 53081-8426
Phone: (920) 802-2100
Fax: (920) 802-1500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 569-033 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 76954-030 | Wisconsin |
Profile Details
NPI number | 1780791210 |
---|---|
LBN Legal business name | Klotzbuecher, Karl J |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Nov 28th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780791210 | NPPES |
Wisconsin | MEDICAID | 43298700 |
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