Wilke, Kevin J.
Wilke, Kevin J. is an individual health care provider with primary practice located at 111 Broadview Dr , Green Bay WI 54301-2805. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wilke, Kevin J. can be contacted via phone (920) 347-4560.Contact Information
Primary practice address
111 Broadview Dr
Green Bay WI 54301-2805
Phone: (920) 347-4560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4522-015 | Wisconsin |
Profile Details
| NPI number | 1922376706 |
|---|---|
| LBN Legal business name | Wilke, Kevin J. |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2011 |
| Last updated | Dec 7th, 2011 - about 15 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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