Smogoleski, Joanna

Smogoleski, Joanna is an sole proprietor health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smogoleski, Joanna can be contacted via phone (920) 793-7400.

Contact Information

Primary practice address
5300 Memorial Dr Two Rivers WI 54241-3923
Fax: (920) 793-7402
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5945 Wisconsin

Profile Details

NPI number 1013317254
LBN Legal business name Smogoleski, Joanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2014
Last updated Nov 30th, 2023 - about 3 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 1013317254 NPPES
Wisconsin MEDICAID 100039828

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