Antonissen, Paul
Antonissen, Paul is an individual health care provider with primary practice located at 3957 Garrett St , De Pere WI 54115-1655. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Antonissen, Paul can be contacted via phone (920) 471-3729.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8973-33 | Wisconsin |
Profile Details
| NPI number | 1174096747 |
|---|---|
| LBN Legal business name | Antonissen, Paul |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2019 |
| Last updated | Jan 7th, 2019 - about 6 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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