Konkol, Keith
Konkol, Keith is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Konkol, Keith can be contacted via phone (608) 756-6800.Contact Information
Primary practice address
1000 Mineral Point Ave
Janesville WI 53548-2940
Phone: (608) 756-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 37675 | Wisconsin |
Profile Details
| NPI number | 1730255340 |
|---|---|
| LBN Legal business name | Konkol, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 18th, 2011 - 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 | 1730255340 | NPPES |
| Wisconsin | MEDICAID | 32219500 |
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