Avila, Jose M
Avila, Jose M is an sole proprietor health care provider with primary practice located at 6030 W Oklahoma Ave , Milwaukee WI 53219-4133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Avila, Jose M can be contacted via phone (414) 546-2992.Contact Information
Primary practice address
6030 W Oklahoma Ave
Milwaukee WI 53219-4133
Phone: (414) 546-2992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1406-33 | Wisconsin |
Profile Details
| NPI number | 1720075716 |
|---|---|
| LBN Legal business name | Avila, Jose M |
| Credentials | RN, MSN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Nov 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720075716 | NPPES |
| Wisconsin | MEDICAID | 43894900 |
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