Pennau, Karl

Pennau, Karl is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pennau, Karl can be contacted via phone (920) 926-8616.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-4560
Phone: (920) 926-8616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24240 Wisconsin

Profile Details

NPI number 1487636536
LBN Legal business name Pennau, Karl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1487636536 NPPES
Wisconsin Other P00224646 RAILROAD MEDICARE
Wisconsin Other WI01S7 RAILROAD MEDICARE
Wisconsin MEDICAID 30286500 RAILROAD MEDICARE
Wisconsin Other 13880 RAILROAD MEDICARE

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