Kapetsonis, Mario
Kapetsonis, Mario is an individual health care provider with primary practice located at 734 N Jackson St , Milwaukee WI 53202-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kapetsonis, Mario can be contacted via phone (414) 277-6500.Contact Information
Primary practice address
734 N Jackson St
Milwaukee WI 53202-4602
Phone: (414) 277-6500
Fax: (414) 224-1365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43438 | Wisconsin |
Profile Details
| NPI number | 1306833991 |
|---|---|
| LBN Legal business name | Kapetsonis, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 10th, 2012 - about 14 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 | 1306833991 | NPPES |
| Wisconsin | MEDICAID | 34283400 |
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