Niec, Kenneth M

Niec, Kenneth M is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105. 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. Niec, Kenneth M can be contacted via phone (262) 767-8110.

Contact Information

Primary practice address
248 Mchenry St Burlington WI 53105
Phone: (262) 767-8110
Fax: (262) 767-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1215-023 Wisconsin

Profile Details

NPI number 1093822447
LBN Legal business name Niec, Kenneth M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1093822447 NPPES
Wisconsin MEDICAID 41924900

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