Thielke, Joel Gregory

Thielke, Joel Gregory is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Thielke, Joel Gregory can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9201
Phone: (262) 329-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4070-23 Wisconsin

Profile Details

NPI number 1225551195
LBN Legal business name Thielke, Joel Gregory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2017
Last updated Oct 9th, 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 1225551195 NPPES
Wisconsin MEDICAID 100071044

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