Kochanik, Dennis Lee

Kochanik, Dennis Lee is an sole proprietor health care provider with primary practice located at 11431 N Port Washington Rd Ste 101B , Mequon WI 53092-3463. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kochanik, Dennis Lee can be contacted via phone (267) 699-8834.

Contact Information

Primary practice address
11431 N Port Washington Rd Ste 101B Mequon WI 53092-3463
Phone: (267) 699-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 245684-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95019168 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5380327022 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN-3414-0 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11305-33 Wisconsin

Profile Details

NPI number 1982378493
LBN Legal business name Kochanik, Dennis Lee
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2021
Last updated Feb 5th, 2024 - about 9 months 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 1982378493 NPPES
Wisconsin MEDICAID 100190462

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