Jennifer B Bratonia in Green Bay - Physician Assistant
Jennifer B Bratonia - NPI 1447262290
Jennifer B Bratonia is a Physician Assistant in Green Bay, Wisconsin. Jennifer B Bratonia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer B Bratonia is 1447262290. The last update date is 2019-04-16.
Jennifer B Bratonia's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9204055388. The mailing address for Jennifer B Bratonia is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer B Bratonia |
|---|---|
| Address | 164 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9204909046 |
| Fax Number | 9204055388 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1447262290 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2019-04-16 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9204909046 |
| Fax Number | 9204055388 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1769 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41997000 | WI | -- |
Post Comment/ Review Below
What is the Jennifer B Bratonia's unique identification number?
The Jennifer B Bratonia has been assigned the NPI (National Provider Identifier) Number 1447262290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jennifer B Bratonia?
The Jennifer B Bratonia is situated at 164 N Broadway, in the city of Green Bay, state of WI, with the zip code 543032728.
What is the Jennifer B Bratonia's area of specialization and corresponding taxonomy classification?
The Jennifer B Bratonia's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Jennifer B Bratonia receive its 1447262290 assignment?
The Jennifer B Bratonia was assigned its 1447262290 on 2006-08-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jennifer B Bratonia most recently updated or revised?
The information pertaining to Jennifer B Bratonia, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-16.