Fields, Dana M.
Fields, Dana M. is an individual health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fields, Dana M. can be contacted via phone (262) 253-5400.Contact Information
Primary practice address
W129N7055 Northfield Dr
Menomonee Falls WI 53051-0538
Phone: (262) 253-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1256-023 | Wisconsin |
Profile Details
| NPI number | 1093711236 |
|---|---|
| LBN Legal business name | Fields, Dana M. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Apr 21st, 2022 - about 3 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 | 1093711236 | NPPES |
| Wisconsin | MEDICAID | 42999200 |
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