Georgen, Jill C

Georgen, Jill C is an sole proprietor health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Georgen, Jill C can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9201
Phone: (262) 329-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008000 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.008000 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5308 Wisconsin

Profile Details

NPI number 1669092730
LBN Legal business name Georgen, Jill C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2020
Last updated Jan 30th, 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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