Yorgan, Kenneth John

Yorgan, Kenneth John is an individual health care provider with primary practice located at 5401 Douglas Ave , Racine WI 53402-2034. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Yorgan, Kenneth John can be contacted via phone (262) 884-0484.

Contact Information

Primary practice address
5401 Douglas Ave Racine WI 53402-2034
Fax: (262) 681-8830
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2002 Wisconsin

Profile Details

NPI number 1194883256
LBN Legal business name Yorgan, Kenneth John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194883256 NPPES
Wisconsin MEDICAID 38792200

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