Churchill, Emily J

Churchill, Emily J is an individual health care provider with primary practice located at 215 Washington St , Grafton WI 53024-1700. 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. Churchill, Emily J can be contacted via phone (262) 375-3700.

Contact Information

Primary practice address
215 Washington St Grafton WI 53024-1700
Phone: (262) 375-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13607-33 Wisconsin

Profile Details

NPI number 1881392165
LBN Legal business name Churchill, Emily J
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2023
Last updated Aug 16th, 2023 - about 2 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 1881392165 NPPES
Wisconsin MEDICAID 100239464

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