Jorgensen, Stephanie
Jorgensen, Stephanie is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105-1828. 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. Jorgensen, Stephanie can be contacted via phone (262) 767-8000.Contact Information
Primary practice address
248 Mchenry St
Burlington WI 53105-1828
Phone: (262) 767-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2080 | Wisconsin |
Profile Details
| NPI number | 1144391699 |
|---|---|
| LBN Legal business name | Jorgensen, Stephanie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Mar 1st, 2024 - about 9 months 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 | 1144391699 | NPPES |
| Wisconsin | MEDICAID | 41930000 |
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