Kaepernick, Teasha L
Kaepernick, Teasha L is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. 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. Kaepernick, Teasha L can be contacted via phone (920) 531-2291.Contact Information
Primary practice address
1405 Mill St
New London WI 54961-2155
Phone: (920) 531-2291
Fax: (920) 531-2207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2038 | Wisconsin |
Profile Details
| NPI number | 1922014406 |
|---|---|
| LBN Legal business name | Kaepernick, Teasha L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 30th, 2012 - about 13 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 | 1922014406 | NPPES |
| Wisconsin | MEDICAID | 42890800 | |
| Wisconsin | Other | P00391342 |
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