Ehlert, Mikayla Nicole

Ehlert, Mikayla Nicole is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Ehlert, Mikayla Nicole can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax: (262) 434-5050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 514-017 Wisconsin

Profile Details

NPI number 1700591344
LBN Legal business name Ehlert, Mikayla Nicole
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2023
Last updated May 3rd, 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 1700591344 NPPES
Wisconsin MEDICAID 100229331

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