Habeck, Cheryl M

Habeck, Cheryl M is an individual health care provider with primary practice located at 1550 Midway Pl , Menasha WI 54952-1165. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Habeck, Cheryl M can be contacted via phone (920) 727-8030.

Contact Information

Primary practice address
1550 Midway Pl Menasha WI 54952-1165
Phone: (920) 727-8030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1238033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1238 Wisconsin

Profile Details

NPI number 1114912425
LBN Legal business name Habeck, Cheryl M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jan 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 1114912425 NPPES
Wisconsin MEDICAID 43854900

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