Andrew, Peter George
Andrew, Peter George is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9204. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Andrew, Peter George can be contacted via phone (262) 329-1000.Contact Information
Primary practice address
975 Port Washington Rd
Grafton WI 53024-9204
Phone: (262) 329-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 524-017 | Wisconsin |
Profile Details
| NPI number | 1821704545 |
|---|---|
| LBN Legal business name | Andrew, Peter George |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2023 |
| Last updated | Apr 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821704545 | NPPES |
| Wisconsin | MEDICAID | 100227328 |
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