Kannal, Mitchell

Kannal, Mitchell is an individual health care provider with primary practice located at 1701 Fond Du Lac Ave , Kewaskum WI 53040-9129. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kannal, Mitchell can be contacted via phone (262) 626-4616.

Contact Information

Primary practice address
1701 Fond Du Lac Ave Kewaskum WI 53040-9129
Phone: (262) 626-4616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13543-24 Wisconsin

Profile Details

NPI number 1255082350
LBN Legal business name Kannal, Mitchell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2022
Last updated Jan 11th, 2022 - about 4 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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