Bockeloh, James A

Bockeloh, James A is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bockeloh, James A can be contacted via phone (414) 955-5990.

Contact Information

Primary practice address
1155 N Mayfair Rd Wauwatosa WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1743-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1743-033 Wisconsin

Profile Details

NPI number 1194787341
LBN Legal business name Bockeloh, James A
Credentials DNP, FNP-BC, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 11th, 2019 - about 7 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 1194787341 NPPES
Wisconsin MEDICAID 43922100

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