Konowalchuk, Brian K

Konowalchuk, Brian K is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Konowalchuk, Brian K can be contacted via phone (920) 686-5732.

Contact Information

Primary practice address
3509 Dewey St Manitowoc WI 54220-5497
Phone: (920) 686-5732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 49755 Wisconsin

Profile Details

NPI number 1104939453
LBN Legal business name Konowalchuk, Brian K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104939453 NPPES
Minnesota MEDICAID 178445500

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