Thalacker, Christa D

Thalacker, Christa D is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Orthopaedic Surgery, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thalacker, Christa D can be contacted via phone (414) 337-7300.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Orthopaedic Surgery Milwaukee WI 53226-4874
Phone: (414) 337-7300
Fax: (414) 337-7337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 156298 Wisconsin

Profile Details

NPI number 1760742142
LBN Legal business name Thalacker, Christa D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Jun 14th, 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 1760742142 NPPES
Wisconsin MEDICAID 1760742142

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