St Mary, Christine J

St Mary, Christine J is an individual health care provider with primary practice located at 1504 S Commercial St , Neenah WI 54956-4802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. St Mary, Christine J can be contacted via phone (920) 729-6088.

Contact Information

Primary practice address
1504 S Commercial St Neenah WI 54956-4802
Phone: (920) 729-6088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1710-033 Wisconsin

Profile Details

NPI number 1619913696
LBN Legal business name St Mary, Christine J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1619913696 NPPES
Wisconsin MEDICAID 43951600

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