Maskala, Kristen L

Maskala, Kristen L is an individual health care provider with primary practice located at W62N179 Washington Avenue Suite 3 , Cedarburg WI 53012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Maskala, Kristen L can be contacted via phone (262) 618-2228.

Contact Information

Primary practice address
W62N179 Washington Avenue Suite 3 Cedarburg WI 53012
Phone: (262) 618-2228
Fax: (262) 618-2998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 41376 Wisconsin

Profile Details

NPI number 1104908938
LBN Legal business name Maskala, Kristen L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 17th, 2018 - about 8 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 1104908938 NPPES
Other 6530 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 1104908938 INTERNAL ID-MOTOR VEHICLE ID

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