Van Arendonk, Kyle Jon
Van Arendonk, Kyle Jon is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Van Arendonk, Kyle Jon can be contacted via phone (414) 266-6550.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 266-6550
Fax: (414) 266-6579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 35.149179 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 69327-20 | Wisconsin |
Profile Details
| NPI number | 1659544211 |
|---|---|
| LBN Legal business name | Van Arendonk, Kyle Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Sep 26th, 2023 - about 2 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 | 1659544211 | NPPES |
| Ohio | Other | H0007327 | CGS - MEDICARE |
| Ohio | MEDICAID | 0027771 | CGS - MEDICARE |
| Ohio | MEDICAID | 1659544211 | CGS - MEDICARE |
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