Laporte, Kevan John

Laporte, Kevan John is an individual health care provider with primary practice located at 517 E. Clairemont Avenue , Eau Claire WI 54701-6479. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Laporte, Kevan John can be contacted via phone (715) 855-0408.

Contact Information

Primary practice address
517 E. Clairemont Avenue Eau Claire WI 54701-6479
Phone: (715) 855-0408
Fax: (715) 855-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 14040 Wisconsin

Profile Details

NPI number 1144757485
LBN Legal business name Laporte, Kevan John
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2017
Last updated Nov 30th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144757485 NPPES
Wisconsin MEDICAID 100072562

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