Daniels, Katie

Daniels, Katie is an individual health care provider with primary practice located at 530 Smith Ave , Oconto WI 54153-1010. 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. Daniels, Katie can be contacted via phone (920) 834-7600.

Contact Information

Primary practice address
530 Smith Ave Oconto WI 54153-1010
Fax: (920) 834-7601
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8316 Wisconsin

Profile Details

NPI number 1811492929
LBN Legal business name Daniels, Katie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Dec 1st, 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 1811492929 NPPES
Wisconsin MEDICAID 100078233

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