Theyerl, Kay Ellen

Theyerl, Kay Ellen is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Suite 240, Neenah WI 54956-2721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Theyerl, Kay Ellen can be contacted via phone (920) 725-2070.

Contact Information

Primary practice address
200 Theda Clark Medical Plz Suite 240 Neenah WI 54956-2721
Phone: (920) 725-2070
Fax: (920) 725-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46219-020 Wisconsin

Profile Details

NPI number 1669473674
LBN Legal business name Theyerl, Kay Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 25th, 2012 - about 14 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 1669473674 NPPES
Wisconsin MEDICAID 34471300
Wisconsin Other 711290047

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