Chrisopulos, Joshua
Chrisopulos, Joshua is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Chrisopulos, Joshua can be contacted via phone (262) 884-4088.Contact Information
Primary practice address
8400 Washington Ave
Mount Pleasant WI 53406-3735
Phone: (262) 884-4088
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 083504 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5273-023 | Wisconsin |
Profile Details
NPI number | 1982150298 |
---|---|
LBN Legal business name | Chrisopulos, Joshua |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2016 |
Last updated | Nov 30th, 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 | 1982150298 | NPPES |
Wisconsin | MEDICAID | 100138716 |
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