Michon, Peter B

Michon, Peter B is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54308-8900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Michon, Peter B can be contacted via phone (920) 288-3388.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54308-8900
Phone: (920) 288-3388
Fax: (920) 288-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 144267-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 153789-030 Wisconsin

Profile Details

NPI number 1003923582
LBN Legal business name Michon, Peter B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 8th, 2022 - 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 1003923582 NPPES
Wisconsin MEDICAID 1003923582

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