Robertson, Kiz
Robertson, Kiz is an individual health care provider with primary practice located at 1111 Delafield St Ste 102 , Waukesha WI 53188-3402. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Robertson, Kiz can be contacted via phone (262) 549-5150.Contact Information
Primary practice address
1111 Delafield St Ste 102
Waukesha WI 53188-3402
Phone: (262) 549-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 39-156 | Wisconsin |
Profile Details
| NPI number | 1417097320 |
|---|---|
| LBN Legal business name | Robertson, Kiz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Dec 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417097320 | NPPES |
| Wisconsin | MEDICAID | 41119700 |
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