Green Bay Emergency Physicians, Llc in Milwaukee - Physician Assistant
Green Bay Emergency Physicians, Llc - NPI 1588612212
Green Bay Emergency Physicians, Llc is a Physician Assistant in Milwaukee, Wisconsin. Green Bay Emergency Physicians, Llc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Green Bay Emergency Physicians, Llc is 1588612212. The last update date is 2023-03-30.
Green Bay Emergency Physicians, Llc's current location address is 111 E Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142906718 and fax number 4142906755. The mailing address for Green Bay Emergency Physicians, Llc is 111 E Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Bay Emergency Physicians, Llc |
|---|---|
| Address | 111 E Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142906718 |
| Fax Number | 4142906755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Vaughn Karen |
| Telephone Number | 4044504684 |
NPI Number Detail
| NPI Number | 1588612212 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2023-03-30 |
Provider Mailing Address Detail
| Address | 111 E Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532024815 |
| Phone Number | 4142906718 |
| Fax Number | 4142906755 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 32875300 | WI | -- | |
| 20151500 | WI | FEDERAL BLACK LUNG PROGRA | |
| 137598401 | WI | OWCP | |
| 120003951 | WI | WEA | |
| CI8038 | WI | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Green Bay Emergency Physicians, Llc?
The Green Bay Emergency Physicians, Llc has been issued the NPI (National Provider Identifier) 1588612212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Green Bay Emergency Physicians, Llc?
The Green Bay Emergency Physicians, Llc is physically situated at 111 E Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532024815.
What is the Green Bay Emergency Physicians, Llc's area of specialization and corresponding taxonomy classification?
The Green Bay Emergency Physicians, Llc's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Green Bay Emergency Physicians, Llc receive its 1588612212 assignment from the Centers for Medicare & Medicaid Services?
The Green Bay Emergency Physicians, Llc was assigned its 1588612212 on 2006-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Green Bay Emergency Physicians, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Green Bay Emergency Physicians, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-30.
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