Van Egeren, Colleen M
Van Egeren, Colleen M is an individual health care provider with primary practice located at 715 Superior Rd Suite 120, Green Bay WI 54311-7594. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Van Egeren, Colleen M can be contacted via phone (920) 406-9803.Contact Information
Primary practice address
715 Superior Rd Suite 120
Green Bay WI 54311-7594
Phone: (920) 406-9803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2178-023 | Wisconsin |
Profile Details
| NPI number | 1265628507 |
|---|---|
| LBN Legal business name | Van Egeren, Colleen M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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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