Zacharias, Kevin Joseph

Zacharias, Kevin Joseph is an individual health care provider with primary practice located at 1100 E Verona Ave , Verona WI 53593-8717. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Zacharias, Kevin Joseph can be contacted via phone (608) 845-1262.

Contact Information

Primary practice address
1100 E Verona Ave Verona WI 53593-8717
Phone: (608) 845-1262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 725-019 Wisconsin

Profile Details

NPI number 1679641559
LBN Legal business name Zacharias, Kevin Joseph
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 9th, 2007 - about 18 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 1679641559 NPPES
Wisconsin MEDICAID 40336900

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