Kontra, Dennis J

Kontra, Dennis J is an individual health care provider with primary practice located at 5802 Washington Ave Ste 102, Racine WI 53406-4088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kontra, Dennis J can be contacted via phone (262) 886-9100.

Contact Information

Primary practice address
5802 Washington Ave Ste 102 Racine WI 53406-4088
Fax: (262) 886-9130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15656 020 Wisconsin

Profile Details

NPI number 1306835319
LBN Legal business name Kontra, Dennis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 28th, 2008 - about 16 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 1306835319 NPPES
Wisconsin MEDICAID 31175100

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