Raskin, Kenneth S

Raskin, Kenneth S is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raskin, Kenneth S can be contacted via phone (262) 948-6790.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142
Fax: (262) 948-7326
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45098 Wisconsin

Profile Details

NPI number 1609983949
LBN Legal business name Raskin, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 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 1609983949 NPPES
Wisconsin MEDICAID 34302900

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