Antonneau, Kirsten J
Antonneau, Kirsten J is an individual health care provider with primary practice located at 1300 S Green Bay Rd Ste 100 , Mount Pleasant WI 53406-4469. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Antonneau, Kirsten J can be contacted via phone (262) 619-4191.Contact Information
Primary practice address
1300 S Green Bay Rd Ste 100
Mount Pleasant WI 53406-4469
Phone: (262) 619-4191
Fax: (262) 634-5185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1981 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1981-23 | Wisconsin |
Profile Details
NPI number | 1467526400 |
---|---|
LBN Legal business name | Antonneau, Kirsten J |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 20th, 2006 |
Last updated | Sep 10th, 2021 - about 4 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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