Kooiker, Kevin Paul
Kooiker, Kevin Paul is an sole proprietor health care provider with primary practice located at 1515 Lyndale Ave , Eau Claire WI 54701-4362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Kooiker, Kevin Paul can be contacted via phone (612) 978-1086.Contact Information
Primary practice address
1515 Lyndale Ave
Eau Claire WI 54701-4362
Phone: (612) 978-1086
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 30773 | Minnesota |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 61479 | Wisconsin |
Profile Details
NPI number | 1134174949 |
---|---|
LBN Legal business name | Kooiker, Kevin Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2006 |
Last updated | Jan 24th, 2014 - about 11 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 | 1134174949 | NPPES |
Minnesota | MEDICAID | 588085800 |
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