Erdmann, Kenneth J
Erdmann, Kenneth J is an individual health care provider with primary practice located at 210 W Capitol Dr , Milwaukee WI 53212-1123. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Erdmann, Kenneth J can be contacted via phone (414) 224-3737.Contact Information
Primary practice address
210 W Capitol Dr
Milwaukee WI 53212-1123
Phone: (414) 224-3737
Fax: (414) 224-3725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25777-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25777-20 | Wisconsin |
Profile Details
| NPI number | 1891714119 |
|---|---|
| LBN Legal business name | Erdmann, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 7th, 2016 - about 10 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 | 1891714119 | NPPES |
| Wisconsin | MEDICAID | 30825200 |
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