Roucka, Toni M
Roucka, Toni M is an individual health care provider with primary practice located at 4536 22Nd Ave , Kenosha WI 53140-5917. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Roucka, Toni M can be contacted via phone (262) 656-0044.Contact Information
Primary practice address
4536 22Nd Ave
Kenosha WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4643-015 | Wisconsin |
Profile Details
| NPI number | 1578550521 |
|---|---|
| LBN Legal business name | Roucka, Toni M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578550521 | NPPES |
| Wisconsin | MEDICAID | 33761600 |
Popular Providers
-
Caira, Luigi A
4320 60Th St , Kenosha WI 53144-2577 -
Moore, Hazel E
4536 22Nd Ave , Kenosha WI 53140-5917 -
Fahey, Dennis John
3917 47Th Ave , Kenosha WI 53144-1956 -
Aiello, William
3415 30Th Ave , Kenosha WI 53144-1622 -
Jung, Edmund
3715 Washington Rd , Kenosha WI 53144-1629 -
Walsh, Michael Anthony
2600 22Nd Ave , Kenosha WI 53140-4813 -
Kubica, Joseph E
3311 Roosevelt Rd , Kenosha WI 53142-3934 -
Miro, Carlos J
4536 22Nd Ave , Kenosha WI 53140-5917