Kormanik, Katherine
Kormanik, Katherine is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kormanik, Katherine can be contacted via phone (262) 387-8200.Contact Information
Primary practice address
12203 Corporate Pkwy
Mequon WI 53092-3388
Phone: (262) 387-8200
Fax: (262) 387-8271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51808 | Wisconsin |
Profile Details
| NPI number | 1336261411 |
|---|---|
| LBN Legal business name | Kormanik, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 2nd, 2021 - about 4 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 | 1336261411 | NPPES |
| Wisconsin | MEDICAID | 35313800 |
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