Schmidt, Melissa Rae

Schmidt, Melissa Rae is an individual health care provider with primary practice located at 205 Valley Ave , West Bend WI 53095-5312. 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. Schmidt, Melissa Rae can be contacted via phone (262) 338-1123.

Contact Information

Primary practice address
205 Valley Ave West Bend WI 53095-5312
Phone: (262) 338-1123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1887 Wisconsin

Profile Details

NPI number 1164475547
LBN Legal business name Schmidt, Melissa Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 9th, 2014 - about 12 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 1164475547 NPPES
Wisconsin Other P01277536 RR MEDICARE
Wisconsin MEDICAID 42870900 RR MEDICARE

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