Montag, Cheryl L

Montag, Cheryl L is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Montag, Cheryl L can be contacted via phone (920) 738-2000.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 738-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 6075-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 6075-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6075-33 Wisconsin

Profile Details

NPI number 1316341688
LBN Legal business name Montag, Cheryl L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2014
Last updated Apr 23rd, 2015 - about 11 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 1316341688 NPPES
Wisconsin Other 135602 RN LIC
Wisconsin Other 6075 RN LIC

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