Wasie, Edward J

Wasie, Edward J is an individual health care provider with primary practice located at 1910 Alabama St , Sturgeon Bay WI 54235-3532. 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. Wasie, Edward J can be contacted via phone (920) 746-7200.

Contact Information

Primary practice address
1910 Alabama St Sturgeon Bay WI 54235-3532
Phone: (920) 746-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704202513 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6719 Wisconsin

Profile Details

NPI number 1538252572
LBN Legal business name Wasie, Edward J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 19th, 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 1538252572 NPPES
Wisconsin MEDICAID 100051928
Wisconsin Other EW202513
Wisconsin Other 0829560001

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