Pustina, Chloe L

Pustina, Chloe L is an sole proprietor health care provider with primary practice located at 2400 E Capitol Dr , Appleton WI 54911-8728. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pustina, Chloe L can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
2400 E Capitol Dr Appleton WI 54911-8728
Phone: (920) 831-5050
Fax: (920) 738-6507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAR-0000015390 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7178 Wisconsin

Profile Details

NPI number 1831802339
LBN Legal business name Pustina, Chloe L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2022
Last updated May 28th, 2024 - 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 1831802339 NPPES
Wisconsin MEDICAID 1831802339

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