Korkor, Adel B

Korkor, Adel B is an individual health care provider with primary practice located at 1111 Delafield St Ste 327 , Waukesha WI 53188-3407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Korkor, Adel B can be contacted via phone (262) 524-1024.

Contact Information

Primary practice address
1111 Delafield St Ste 327 Waukesha WI 53188-3407
Fax: (262) 524-8767
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 24194-020 Wisconsin

Profile Details

NPI number 1275568560
LBN Legal business name Korkor, Adel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 2nd, 2017 - about 8 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 1275568560 NPPES
Wisconsin MEDICAID 30401000

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