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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720075716 NPPES
Wisconsin MEDICAID 43894900

Popular Providers