Everson, Judith H
Everson, Judith H is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Everson, Judith H can be contacted via phone (920) 433-3500.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax: (920) 433-7932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1685-033 | Wisconsin |
Profile Details
| NPI number | 1699730002 |
|---|---|
| LBN Legal business name | Everson, Judith H |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 11th, 2015 - about 9 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 | 1699730002 | NPPES |
| Wisconsin | MEDICAID | 43919900 |
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