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
Phone: (920) 834-7600
Fax: (920) 834-7601
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811492929 | NPPES |
| Wisconsin | MEDICAID | 100078233 |
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