Quinn, Makensie Rae

Quinn, Makensie Rae is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Quinn, Makensie Rae can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2322 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8462 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5118 Wisconsin

Profile Details

NPI number 1568928745
LBN Legal business name Quinn, Makensie Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2019
Last updated Mar 25th, 2024 - about last year

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 1568928745 NPPES
Wisconsin MEDICAID 100205923

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