Kehrberg, Mark W
Kehrberg, Mark W is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kehrberg, Mark W can be contacted via phone (920) 223-7200.Contact Information
Primary practice address
1855 S Koeller St
Oshkosh WI 54902-6186
Phone: (920) 223-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34342 | Wisconsin |
Profile Details
| NPI number | 1679567473 |
|---|---|
| LBN Legal business name | Kehrberg, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Sep 2nd, 2008 - about 18 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 | 1679567473 | NPPES |
| Wisconsin | MEDICAID | 31916300 |
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