Beck Metzger, Mary K

Beck Metzger, Mary K is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Beck Metzger, Mary K can be contacted via phone (920) 674-7442.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-7442
Fax: (920) 674-7460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1895-33 Wisconsin

Profile Details

NPI number 1902857709
LBN Legal business name Beck Metzger, Mary K
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 19th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902857709 NPPES
Wisconsin Other 1039346 PHYSICIANS PLUS
Wisconsin MEDICAID 43944300 PHYSICIANS PLUS

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