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
Phone: (262) 886-9100
Fax: (262) 886-9130
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306835319 | NPPES |
Wisconsin | MEDICAID | 31175100 |
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