King, Nathalie Anne

King, Nathalie Anne is an individual health care provider with primary practice located at 3805B Spring St Suite 320, Racine WI 53405-1641. 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. King, Nathalie Anne can be contacted via phone (262) 687-8322.

Contact Information

Primary practice address
3805B Spring St Suite 320 Racine WI 53405-1641
Phone: (262) 687-8322
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1807 Wisconsin

Profile Details

NPI number 1528178563
LBN Legal business name King, Nathalie Anne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 3rd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528178563 NPPES
Wisconsin Other 39-1264986 TAX ID

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