Davis, Christine Lynn

Davis, Christine Lynn is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. She 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 her primary health care specialty. Davis, Christine Lynn can be contacted via phone (262) 387-8200.

Contact Information

Primary practice address
12203 Corporate Pkwy Mequon WI 53092-3388
Phone: (262) 387-8200
Fax: (262) 387-8239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2977-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2977-023 Wisconsin

Profile Details

NPI number 1679826812
LBN Legal business name Davis, Christine Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2012
Last updated Oct 18th, 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 1679826812 NPPES
Wisconsin MEDICAID 100071900
Wisconsin MEDICAID 1679826812

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