Kraemer, Matthew N

Kraemer, Matthew N is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kraemer, Matthew N can be contacted via phone (920) 223-7100.

Contact Information

Primary practice address
1855 S Koeller St Oshkosh WI 54902-6186
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42624 Wisconsin

Profile Details

NPI number 1972598332
LBN Legal business name Kraemer, Matthew N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Dec 11th, 2020 - 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 1972598332 NPPES
Wisconsin MEDICAID 30098700

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