Swan, James M

Swan, James M is an individual health care provider with primary practice located at 2817 New Pinery Road Divine Savior Healthcare Inc, Portage WI 53901-0387. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Swan, James M can be contacted via phone (608) 742-4131.

Contact Information

Primary practice address
2817 New Pinery Road Divine Savior Healthcare Inc Portage WI 53901-0387
Phone: (608) 742-4131
Fax: (608) 429-3966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3155033 Wisconsin

Profile Details

NPI number 1467644195
LBN Legal business name Swan, James M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Jan 31st, 2012 - about 13 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 1467644195 NPPES
Wisconsin MEDICAID 36039800

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