Konzen, Jon P
Konzen, Jon P is an sole proprietor health care provider with primary practice located at 3506 Oakwood Mall Dr Ste A , Eau Claire WI 54701-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Konzen, Jon P can be contacted via phone (715) 831-0811.Contact Information
Primary practice address
3506 Oakwood Mall Dr Ste A
Eau Claire WI 54701-2639
Phone: (715) 831-0811
Fax: (715) 831-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 37138 | Wisconsin |
Profile Details
| NPI number | 1609988310 |
|---|---|
| LBN Legal business name | Konzen, Jon P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 29th, 2024 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609988310 | NPPES |
| Wisconsin | MEDICAID | 30067800 |
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