Duffy, Tanner Jack

Duffy, Tanner Jack is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Duffy, Tanner Jack can be contacted via phone (414) 649-6000.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215-4330
Phone: (414) 649-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 527-17 Wisconsin

Profile Details

NPI number 1770282873
LBN Legal business name Duffy, Tanner Jack
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2023
Last updated May 19th, 2023 - about 3 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 1770282873 NPPES
Wisconsin MEDICAID 100231134

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