Probst, Michael William

Probst, Michael William is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. 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. Probst, Michael William can be contacted via phone (262) 641-8400.

Contact Information

Primary practice address
16985 W Bluemound Rd Brookfield WI 53005-5909
Phone: (262) 641-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002144 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3323 Wisconsin

Profile Details

NPI number 1629385893
LBN Legal business name Probst, Michael William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Oct 15th, 2023 - about 2 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 1629385893 NPPES
Wisconsin MEDICAID 100038627

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