Uebele, Kenneth James

Uebele, Kenneth James is an individual health care provider with primary practice located at 342 S Webster Ave , Green Bay WI 54301-3921. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Uebele, Kenneth James can be contacted via phone (920) 435-3002.

Contact Information

Primary practice address
342 S Webster Ave Green Bay WI 54301-3921
Phone: (920) 435-3002
Fax: (920) 884-0201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 1337 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1902 Wisconsin

Profile Details

NPI number 1154650034
LBN Legal business name Uebele, Kenneth James
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2009
Last updated Dec 23rd, 2009 - about 15 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 1154650034 NPPES
Wisconsin MEDICAID 41783500

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