Kotkin, Michael S.

Kotkin, Michael S. is an individual health care provider with primary practice located at 9415 W. Forest Home Ave. Suite 104 , Hales Corners WI 53130. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kotkin, Michael S. can be contacted via phone (414) 858-9191.

Contact Information

Primary practice address
9415 W. Forest Home Ave. Suite 104 Hales Corners WI 53130
Phone: (414) 858-9191
Fax: (414) 858-9192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 964 Wisconsin

Profile Details

NPI number 1316097843
LBN Legal business name Kotkin, Michael S.
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 21st, 2022 - about 4 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 1316097843 NPPES
Wisconsin MEDICAID 39095900

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