Jon D Niewolny in Sheboygan - Physician Assistant
Jon D Niewolny - NPI 1700993151
Jon D Niewolny is a Physician Assistant in Sheboygan, Wisconsin. Jon D Niewolny practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jon D Niewolny is 1700993151. The last update date is 2023-03-07.
Jon D Niewolny's current location address is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204574461 and fax number 9204591460. The mailing address for Jon D Niewolny is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon D Niewolny |
|---|---|
| Address | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Phone Number | 9204574461 |
| Fax Number | 9204591460 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700993151 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2414 Kohler Memorial Dr |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 53081 |
| Phone Number | 9204574461 |
| Fax Number | 9204591460 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1899-23 |
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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 |
|---|---|---|---|
| 42876000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jon D Niewolny by the Centers for Medicare & Medicaid Services?
The Jon D Niewolny has been assigned the NPI (National Provider Identifier) 1700993151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jon D Niewolny's facilities are situated?
The facilities of Jon D Niewolny are physically located at the following address: 2414 Kohler Memorial Dr, Sheboygan, WI, 53081.
What is Jon D Niewolny's area of expertise and its corresponding taxonomy classification?
The Jon D Niewolny's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jon D Niewolny receive its 1700993151 assignment from the Centers for Medicare & Medicaid Services?
The Jon D Niewolny was assigned its 1700993151 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jon D Niewolny most recently updated or refreshed?
The details pertaining to the Jon D Niewolny, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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