Kort, Chad A

Kort, Chad A is an individual health care provider with primary practice located at 20 N Church St , Elkhorn WI 53121-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kort, Chad A can be contacted via phone (262) 723-6666.

Contact Information

Primary practice address
20 N Church St Elkhorn WI 53121-1706
Phone: (262) 723-6666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35198 Wisconsin

Profile Details

NPI number 1972552503
LBN Legal business name Kort, Chad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972552503 NPPES
Wisconsin MEDICAID 32035700

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