Bengtson, Christine
Bengtson, Christine is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Wauwatosa WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bengtson, Christine can be contacted via phone (414) 266-2860.Contact Information
Primary practice address
9000 W Wisconsin Ave
Wauwatosa WI 53226-4874
Phone: (414) 266-2860
Fax: (414) 266-6749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Pediatrics | 163WP0200X | 225846-30 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 8807-33 | Wisconsin |
Profile Details
NPI number | 1922575349 |
---|---|
LBN Legal business name | Bengtson, Christine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2018 |
Last updated | Jun 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922575349 | NPPES |
Wisconsin | MEDICAID | 1922575349 |
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