Banse, Kevin Andrew

Banse, Kevin Andrew is an individual health care provider with primary practice located at 13111 N Port Washington Rd Ste 116 , Mequon WI 53097-2416. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Banse, Kevin Andrew can be contacted via phone (262) 243-7367.

Contact Information

Primary practice address
13111 N Port Washington Rd Ste 116 Mequon WI 53097-2416
Phone: (262) 243-7367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 21399-40 Wisconsin

Profile Details

NPI number 1780446732
LBN Legal business name Banse, Kevin Andrew
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2024
Last updated Jan 25th, 2024 - 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.

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