Kotsonis, Steven Mather
Kotsonis, Steven Mather is an sole proprietor health care provider with primary practice located at 1109 Cecelia Dr , Pewaukee WI 53072-2524. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kotsonis, Steven Mather can be contacted via phone (262) 373-6733.Contact Information
Primary practice address
1109 Cecelia Dr
Pewaukee WI 53072-2524
Phone: (262) 373-6733
Fax: (262) 373-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 53437-20 | Wisconsin |
Profile Details
| NPI number | 1306017991 |
|---|---|
| LBN Legal business name | Kotsonis, Steven Mather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2008 |
| Last updated | Jun 27th, 2018 - about 7 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 | 1306017991 | NPPES |
| Wisconsin | MEDICAID | 100031662 |
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