Janicke, Susan
Janicke, Susan is an individual health care provider with primary practice located at 2500 State Rd # 33 , La Crosse WI 54601-5098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Janicke, Susan can be contacted via phone (608) 782-7300.Contact Information
Primary practice address
2500 State Rd # 33
La Crosse WI 54601-5098
Phone: (608) 782-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R142404-1 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3063-033 | Wisconsin |
Profile Details
| NPI number | 1669535092 |
|---|---|
| LBN Legal business name | Janicke, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 26th, 2018 - about 6 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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