Homburg, Nancy Jean

Homburg, Nancy Jean is an individual health care provider with primary practice located at 3329 N Richmond St , Appleton WI 54911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Homburg, Nancy Jean can be contacted via phone (920) 380-2719.

Contact Information

Primary practice address
3329 N Richmond St Appleton WI 54911
Phone: (920) 380-2719
Fax: (920) 380-2755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19584 Wisconsin

Profile Details

NPI number 1720073208
LBN Legal business name Homburg, Nancy Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 31st, 2012 - about 14 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 1720073208 NPPES
Other AH6655370 BNDD
MEDICAID 30158000 BNDD

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