Barta, Kathleen M
Barta, Kathleen M is an individual health care provider with primary practice located at 150 S Sunny Slope Rd Ste 136 , Brookfield WI 53005-4858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Barta, Kathleen M can be contacted via phone (262) 786-4550.Contact Information
Primary practice address
150 S Sunny Slope Rd Ste 136
Brookfield WI 53005-4858
Phone: (262) 786-4550
Fax: (262) 786-4552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1292-023 | Wisconsin |
Profile Details
| NPI number | 1720038292 |
|---|---|
| LBN Legal business name | Barta, Kathleen M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 7th, 2017 - about 8 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 | 1720038292 | NPPES |
| Wisconsin | MEDICAID | 42997400 |
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