Kretsinger, William Brock

Kretsinger, William Brock is an individual health care provider with primary practice located at 1301 W 12Th Ave , Emporia KS 66801-2587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kretsinger, William Brock can be contacted via phone (620) 342-2900.

Contact Information

Primary practice address
1301 W 12Th Ave Emporia KS 66801-2587
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 05-19185 Kansas

Profile Details

NPI number 1346270915
LBN Legal business name Kretsinger, William Brock
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 5th, 2024 - about last year

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 1346270915 NPPES
Kansas MEDICAID 100229490B

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