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Contact Information

A PLUS PODIATRY & SPORTS MEDICINE LLC
2901 35TH ST
LOWER LEVEL
KENOSHA, WI53140-5119
 Phone: 262-652-6555
 Fax: 262-652-7414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for A PLUS PODIATRY SPORTS MEDICINE LLC · (Female)

NPI # 1043509789
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2011
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 711-025
  • WI Medicaid 43221800
  • WI Other 000083491 MEDICARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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