Schellhase, Kenneth G
Schellhase, Kenneth G is an individual health care provider with primary practice located at 210 Nw Barstow St Waukesha Family Practice Center, Waukesha WI 53188-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schellhase, Kenneth G can be contacted via phone (262) 548-6907.Contact Information
Primary practice address
210 Nw Barstow St Waukesha Family Practice Center
Waukesha WI 53188-3771
Phone: (262) 548-6907
Fax: (262) 548-3820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43093 | Wisconsin |
Profile Details
| NPI number | 1982655452 |
|---|---|
| LBN Legal business name | Schellhase, Kenneth G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 9th, 2013 - about 11 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 | 1982655452 | NPPES |
| Other | 005006261T | HUMANA | |
| MEDICAID | 1982655452 | HUMANA |
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