Peske, Christopher G
Peske, Christopher G is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Peske, Christopher G can be contacted via phone (414) 266-1686.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 266-1686
Fax: (414) 266-1525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 592 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 592 | Wisconsin |
Profile Details
| NPI number | 1639121312 |
|---|---|
| LBN Legal business name | Peske, Christopher G |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1639121312 | NPPES |
| Other | 001856578Y | HUMANA | |
| MEDICAID | 42926600 | HUMANA |
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