Klinker, Marissa J

Klinker, Marissa J is an individual health care provider with primary practice located at 1020 35Th St , Kenosha WI 53140-1932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Klinker, Marissa J can be contacted via phone (262) 652-3500.

Contact Information

Primary practice address
1020 35Th St Kenosha WI 53140-1932
Phone: (262) 652-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7937 Wisconsin

Profile Details

NPI number 1740709583
LBN Legal business name Klinker, Marissa J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Oct 20th, 2023 - about 3 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 1740709583 NPPES
Wisconsin MEDICAID 100071728

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