Mustas, William L
Mustas, William L is an sole proprietor health care provider with primary practice located at 1111 Delafield St Ste 215 , Waukesha WI 53188-3403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mustas, William L can be contacted via phone (262) 542-0074.Contact Information
Primary practice address
1111 Delafield St Ste 215
Waukesha WI 53188-3403
Phone: (262) 542-0074
Fax: (262) 542-2803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1703 | Wisconsin |
Profile Details
| NPI number | 1629080932 |
|---|---|
| LBN Legal business name | Mustas, William L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 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 | 1629080932 | NPPES |
| Wisconsin | Other | 1703 | LICENSE |
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