Axt, Don D.

Axt, Don D. is an individual health care provider with primary practice located at W180N8085 Town Hall Rd 3Sw Suite 4, Menomonee Falls WI 53051-3518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Axt, Don D. can be contacted via phone (262) 532-6899.

Contact Information

Primary practice address
W180N8085 Town Hall Rd 3Sw Suite 4 Menomonee Falls WI 53051-3518
Phone: (262) 532-6899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 396 Wisconsin

Profile Details

NPI number 1154366367
LBN Legal business name Axt, Don D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 26th, 2010 - about 14 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 1154366367 NPPES
Wisconsin MEDICAID 42929500
Wisconsin Other P00617883

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