Jurgens, Shea L

Jurgens, Shea L is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. 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. Jurgens, Shea L can be contacted via phone (414) 328-6800.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3534-23 Wisconsin

Profile Details

NPI number 1922489376
LBN Legal business name Jurgens, Shea L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 25th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1922489376 NPPES
Wisconsin MEDICAID 1922489376

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