Witte, Jill M

Witte, Jill M is an individual health care provider with primary practice located at 1346 E Green Bay St , Shawano WI 54166-2210. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Witte, Jill M can be contacted via phone (715) 526-6244.

Contact Information

Primary practice address
1346 E Green Bay St Shawano WI 54166-2210
Phone: (715) 526-6244
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 123577-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3442-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3442-33 Wisconsin

Profile Details

NPI number 1386817021
LBN Legal business name Witte, Jill M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Nov 30th, 2021 - about 5 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 1386817021 NPPES
Wisconsin Other 3442-33 WISCONSIN LICENSE
Wisconsin Other 123577-30 WISCONSIN LICENSE

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