Docter, John E

Docter, John E is an sole proprietor health care provider with primary practice located at 19000 W North Ave , Brookfield WI 53045-4106. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Docter, John E can be contacted via phone (262) 785-2000.

Contact Information

Primary practice address
19000 W North Ave Brookfield WI 53045-4106
Phone: (262) 785-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 30408-030 Wisconsin

Profile Details

NPI number 1073773404
LBN Legal business name Docter, John E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 18 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 1073773404 NPPES
Wisconsin MEDICAID 43305200

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