Beck Metzger, Mary K
Beck Metzger, Mary K is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Beck Metzger, Mary K can be contacted via phone (920) 674-7442.Contact Information
Primary practice address
1541 Annex Rd
Jefferson WI 53549-9803
Phone: (920) 674-7442
Fax: (920) 674-7460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1895-33 | Wisconsin |
Profile Details
NPI number | 1902857709 |
---|---|
LBN Legal business name | Beck Metzger, Mary K |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Mar 19th, 2020 - about 5 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 | 1902857709 | NPPES |
Wisconsin | Other | 1039346 | PHYSICIANS PLUS |
Wisconsin | MEDICAID | 43944300 | PHYSICIANS PLUS |
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