Ankenbrandt, Antoinette J

Ankenbrandt, Antoinette J is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. 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. Ankenbrandt, Antoinette J can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 368 Wisconsin

Profile Details

NPI number 1790748622
LBN Legal business name Ankenbrandt, Antoinette J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 9th, 2007 - about 17 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 1790748622 NPPES
Wisconsin Other P00215997 RR MEDICARE PROV #
Wisconsin Other 70 RR MEDICARE PROV #
Wisconsin Other 1009390 RR MEDICARE PROV #
Wisconsin MEDICAID 42958700 RR MEDICARE PROV #

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