Grandlich, Cheryl A.
Grandlich, Cheryl A. is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Trauma And Critical Care Surgery, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Grandlich, Cheryl A. can be contacted via phone (414) 805-8642.Contact Information
Primary practice address
9200 W Wisconsin Ave Trauma And Critical Care Surgery
Milwaukee WI 53226-3522
Phone: (414) 805-8642
Fax: (414) 805-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 86036 | Wisconsin |
Profile Details
| NPI number | 1629184924 |
|---|---|
| LBN Legal business name | Grandlich, Cheryl A. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 18th, 2012 - about 12 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 | 1629184924 | NPPES |
| Wisconsin | MEDICAID | 1629184924 |
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