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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073773404 | NPPES |
| Wisconsin | MEDICAID | 43305200 |
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