Bengtson, Christine

Bengtson, Christine is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Wauwatosa WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bengtson, Christine can be contacted via phone (414) 266-2860.

Contact Information

Primary practice address
9000 W Wisconsin Ave Wauwatosa WI 53226-4874
Phone: (414) 266-2860
Fax: (414) 266-6749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 225846-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8807-33 Wisconsin

Profile Details

NPI number 1922575349
LBN Legal business name Bengtson, Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Jun 5th, 2021 - about 5 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 1922575349 NPPES
Wisconsin MEDICAID 1922575349

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