Konowalchuk, Brian K
Konowalchuk, Brian K is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Konowalchuk, Brian K can be contacted via phone (920) 686-5732.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 49755 | Wisconsin |
Profile Details
| NPI number | 1104939453 |
|---|---|
| LBN Legal business name | Konowalchuk, Brian K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Oct 23rd, 2023 - about 3 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 | 1104939453 | NPPES |
| Minnesota | MEDICAID | 178445500 |
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