Vitch, Jesse
Vitch, Jesse is an individual health care provider with primary practice located at W180N8085 Town Hall Rd Department Of Anesthesiology, Menomonee Falls WI 53051-3518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Vitch, Jesse can be contacted via phone (262) 257-5100.Contact Information
Primary practice address
W180N8085 Town Hall Rd Department Of Anesthesiology
Menomonee Falls WI 53051-3518
Phone: (262) 257-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 88 | Wisconsin |
Profile Details
| NPI number | 1114328226 |
|---|---|
| LBN Legal business name | Vitch, Jesse |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Oct 20th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114328226 | NPPES |
| Wisconsin | MEDICAID | 1114328226 |
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