Gelder, James William

Gelder, James William is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9694. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gelder, James William can be contacted via phone (262) 249-5000.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147-9694
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3636-23 Wisconsin

Profile Details

NPI number 1992181408
LBN Legal business name Gelder, James William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2015
Last updated Jul 21st, 2022 - about 4 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 1992181408 NPPES
Wisconsin MEDICAID 1992181408
Wisconsin Other K400246410

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