Konetzki, Wayne Harry
Konetzki, Wayne Harry is an sole proprietor health care provider with primary practice located at 403 N Grand Ave , Waukesha WI 53186-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Konetzki, Wayne Harry can be contacted via phone (262) 547-3055.Contact Information
Primary practice address
403 N Grand Ave
Waukesha WI 53186-4913
Phone: (262) 547-3055
Fax: (262) 547-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 14469 | Wisconsin |
Profile Details
| NPI number | 1285800367 |
|---|---|
| LBN Legal business name | Konetzki, Wayne Harry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2008 |
| Last updated | May 7th, 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 | 1285800367 | NPPES |
| Wisconsin | Other | 0001-68805 | MEDICARE NUMBER |
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