Chouinard, Teresa J

Chouinard, Teresa J is an individual health care provider with primary practice located at 620 W Brown St , Waupun WI 53963-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chouinard, Teresa J can be contacted via phone (920) 324-6846.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Phone: (920) 324-6846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7033-33 Wisconsin

Profile Details

NPI number 1659722809
LBN Legal business name Chouinard, Teresa J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659722809 NPPES
Wisconsin Other 7033-33 WI LICENSE
Wisconsin Other 146532-30 WI LICENSE

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