Kohler, Mary Jo
Kohler, Mary Jo is an individual health care provider with primary practice located at 229 S Morrison St , Appleton WI 54911-5725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kohler, Mary Jo can be contacted via phone (920) 832-2783.Contact Information
Primary practice address
229 S Morrison St
Appleton WI 54911-5725
Phone: (920) 832-2783
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2829 | Wisconsin |
Profile Details
| NPI number | 1992740971 |
|---|---|
| LBN Legal business name | Kohler, Mary Jo |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992740971 | NPPES |
| Wisconsin | MEDICAID | 36002700 |
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