KANE LAKS (NPI# 1104455609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104455609 |
| Entity Type | Individual |
| Full Name | KANE LAKS |
| Credential | MD |
| Practice Address |
1121 Bell West Blvd Belleville WI 53508 |
| Practice Telephone | 6084243384 |
| Practice Fax Number | 6084246353 |
| Mailing Telephone | 6084243384 |
| Mailing Fax Number | 6084246353 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1121 BELL WEST BLVD |
| City | BELLEVILLE |
| State | WI |
| Zip Code | 53508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849540 | Brian Kenealy | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1386273852 | Stefanie Sippl | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1164051686 | Eleanor Meisner | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980900 | Nancy Statz | Technician | W3495 Buol Rd., Belleville, WI 53508 | 2019-09-05 |
| 1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
| 1487851101 | Belleville Area Emergency Medical Service | Ambulance | 480 River St, Belleville, WI 53508 | 2007-06-27 |
| 1962604702 | Flesch Chiropractic Ltd | Chiropractor | 29 W. Main St., Belleville, WI 53508 | 2007-06-04 |
| 1255397121 | Madonna A Binkowski | Social Worker | 21 S Vine Street, Belleville, WI 53508 | 2006-04-21 |
| 1154381028 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 1121 Bellwest Blvd, Belleville, WI 53508 | 2006-03-24 |
| 1427554278 | Lucinda R Briesemeister | Social Worker | 619 River St, Belleville, WI 53508 | 2018-04-02 |
| 1932589231 | Courtney Golueke | Social Worker | 619 River St, Belleville, WI 53508 | 2015-06-02 |
| 1700223534 | Liana Eskola | Family Medicine | 1121 Bellwest Blvd, Belleville, WI 53508 | 2013-06-03 |
| 1760735351 | William E Michael | Family Medicine | 1121 Bellwest Blvd, Belleville, WI 53508 | 2012-10-19 |
| Find all providers in zip 53508 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327951 | Emily Fuhler | Student in an Organized Health Care Education/Training Program | 1681 Shadow Ridge Ct Apt 2, Belleville, IL 62221-3901 | 2020-05-13 |
| 1902428444 | Tamara Morgan-boyd | Student in an Organized Health Care Education/Training Program | 6000 W Main St, Belleville, IL 62223-4402 | 2020-05-07 |
| 1649891995 | Brooke Elise Sisk | Student in an Organized Health Care Education/Training Program | 308 S Charles St Apt A, Belleville, IL 62220-2241 | 2020-04-28 |
| 1568902831 | Jennifer Ruth Hood | Student in an Organized Health Care Education/Training Program | 35 Dewitt Ave, Belleville, NJ 07109-2507 | 2017-03-06 |
| 1548637721 | Michele Renne Tomaszewski | Student in an Organized Health Care Education/Training Program | 9460 Dalton Dr, Belleville, MI 48111-1686 | 2015-08-24 |
| 1477960789 | Esther Garrido | Student in an Organized Health Care Education/Training Program | 29 Davidson St, Belleville, NJ 07109-3207 | 2014-07-18 |
| 1518373737 | Kamel Munther Massarweh | Student in an Organized Health Care Education/Training Program | 841 Main St Apt C, Belleville, NJ 07109-3435 | 2014-07-08 |
| 1962605782 | Jason Christopher Mccarthy | Student in an Organized Health Care Education/Training Program | 180 S 3rd St Ste 400, Belleville, IL 62220-1952 | 2007-06-08 |
| 1043849540 | Brian Kenealy | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1386273852 | Stefanie Sippl | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 53508 |
Please comment or provide details below to improve the information on KANE LAKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.