Deback, Pamela R

Deback, Pamela R is an individual health care provider with primary practice located at 2514 S 102Nd St Ste 160 , West Allis WI 53227-2142. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deback, Pamela R can be contacted via phone (414) 225-0304.

Contact Information

Primary practice address
2514 S 102Nd St Ste 160 West Allis WI 53227-2142
Phone: (414) 225-0304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4409 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 440933 Wisconsin

Profile Details

NPI number 1487948626
LBN Legal business name Deback, Pamela R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2011
Last updated Jan 4th, 2017 - about 7 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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