Affeldt, Megan A

Affeldt, Megan A is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Ste 414 , Milwaukee WI 53215-3660. 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. Affeldt, Megan A can be contacted via phone (414) 649-3750.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy Ste 414 Milwaukee WI 53215-3660
Phone: (414) 649-3750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4923 Wisconsin

Profile Details

NPI number 1447893029
LBN Legal business name Affeldt, Megan A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2019
Last updated Jul 8th, 2022 - 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 1447893029 NPPES
Wisconsin MEDICAID 100095502

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