Manke, Michelle

Manke, Michelle is an individual health care provider with primary practice located at N9168 Cherry Meadow Dr , Appleton WI 54915-4681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Manke, Michelle can be contacted via phone (920) 284-5784.

Contact Information

Primary practice address
N9168 Cherry Meadow Dr Appleton WI 54915-4681
Phone: (920) 284-5784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 147545-30 Wisconsin

Profile Details

NPI number 1790069599
LBN Legal business name Manke, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Aug 3rd, 2020 - about 6 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 1790069599 NPPES
Wisconsin MEDICAID 1790069599

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