Phipps, Alice M

Phipps, Alice M is an sole proprietor health care provider with primary practice located at 530 N 108Th Pl Ste 100 , Wauwatosa WI 53226-4253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Phipps, Alice M can be contacted via phone (414) 231-9640.

Contact Information

Primary practice address
530 N 108Th Pl Ste 100 Wauwatosa WI 53226-4253
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 137177 Wisconsin

Profile Details

NPI number 1407966997
LBN Legal business name Phipps, Alice M
Credentials CNM, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 15th, 2019 - 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 1407966997 NPPES
Wisconsin MEDICAID 39909600

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