Ditzenberger, Georgia R.

Ditzenberger, Georgia R. is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Ditzenberger, Georgia R. can be contacted via phone (608) 417-6236.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 417-6377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 093006205N9 NNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 3563-033 Wisconsin

Profile Details

NPI number 1043351778
LBN Legal business name Ditzenberger, Georgia R.
Credentials NNP-BC, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 14th, 2015 - about 11 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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