Schultz, Penny Jo

Schultz, Penny Jo is an sole proprietor health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Schultz, Penny Jo can be contacted via phone (608) 372-3791.

Contact Information

Primary practice address
500 E Veterans St Tomah WI 54660-3105
Phone: (608) 372-3791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4348-33 Wisconsin

Profile Details

NPI number 1235436841
LBN Legal business name Schultz, Penny Jo
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2011
Last updated Feb 16th, 2011 - about 15 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 1235436841 NPPES
Wisconsin Other 115450-030 RESISTERED NURSE
Wisconsin Other 4348-33 RESISTERED NURSE

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