Kiechle, Jonathan E
Kiechle, Jonathan E is an individual health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kiechle, Jonathan E can be contacted via phone (414) 649-1280.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 68601 | Wisconsin |
Profile Details
| NPI number | 1083903512 |
|---|---|
| LBN Legal business name | Kiechle, Jonathan E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2011 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1083903512 | NPPES |
| Wisconsin | MEDICAID | 100079599 |
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