Kurtz, Jeffrey A

Kurtz, Jeffrey A is an individual health care provider with primary practice located at 425 Pine Ridge Blvd Suite 205, Wausau WI 54401-4123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kurtz, Jeffrey A can be contacted via phone (715) 847-0444.

Contact Information

Primary practice address
425 Pine Ridge Blvd Suite 205 Wausau WI 54401-4123
Phone: (715) 847-0444
Fax: (715) 847-0445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 19194 Wisconsin

Profile Details

NPI number 1013917079
LBN Legal business name Kurtz, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 3rd, 2009 - about 17 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 1013917079 NPPES
Wisconsin MEDICAID 30348300

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