Kortbein, Eric

Kortbein, Eric is an individual health care provider with primary practice located at 10625 W North Ave Ste 102 , Wauwatosa WI 53226-2315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kortbein, Eric can be contacted via phone (414) 858-2216.

Contact Information

Primary practice address
10625 W North Ave Ste 102 Wauwatosa WI 53226-2315
Phone: (414) 858-2216
Fax: (414) 858-2230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1364 Wisconsin

Profile Details

NPI number 1093812877
LBN Legal business name Kortbein, Eric
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2022 - about 3 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 1093812877 NPPES
Wisconsin MEDICAID 41931700

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