Kondrath, Carol H

Kondrath, Carol H is an individual health care provider with primary practice located at 1500 N 34Th St , Superior WI 54880-4477. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kondrath, Carol H can be contacted via phone (218) 730-2351.

Contact Information

Primary practice address
1500 N 34Th St Superior WI 54880-4477
Phone: (218) 730-2351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1900003 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1900-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 1900-033 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1900003 Wisconsin

Profile Details

NPI number 1417160664
LBN Legal business name Kondrath, Carol H
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated May 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417160664 NPPES
Wisconsin Other 0007-84267 REGULAR MEDICARE
Wisconsin MEDICAID 40945600 REGULAR MEDICARE

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