Kneisler, Debra L

Kneisler, Debra L is an individual health care provider with primary practice located at 2745 W Layton Ave Suite 206, Milwaukee WI 53221-2651. 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. Kneisler, Debra L can be contacted via phone (414) 281-9665.

Contact Information

Primary practice address
2745 W Layton Ave Suite 206 Milwaukee WI 53221-2651
Fax: (414) 281-9674
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1392 Wisconsin

Profile Details

NPI number 1902879810
LBN Legal business name Kneisler, Debra L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 1st, 2021 - about 4 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 1902879810 NPPES
Wisconsin MEDICAID 41932800

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