Kohlenberg, Jared M.

Kohlenberg, Jared M. is an individual health care provider with primary practice located at 670 County Road A , Green Lake WI 54941-8608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kohlenberg, Jared M. can be contacted via phone (920) 294-0100.

Contact Information

Primary practice address
670 County Road A Green Lake WI 54941-8608
Phone: (920) 294-0100
Fax: (920) 294-0123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57315-21 Wisconsin

Profile Details

NPI number 1548498298
LBN Legal business name Kohlenberg, Jared M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated May 14th, 2015 - about 9 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 1548498298 NPPES
Wisconsin MEDICAID 1548498298

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