Knisbeck, Debra

Knisbeck, Debra is an individual health care provider with primary practice located at 626 Foxtail Dr , Hartford WI 53027-2743. 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. Knisbeck, Debra can be contacted via phone (262) 224-4649.

Contact Information

Primary practice address
626 Foxtail Dr Hartford WI 53027-2743
Phone: (262) 224-4649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6991-33 Wisconsin

Profile Details

NPI number 1285083139
LBN Legal business name Knisbeck, Debra
Credentials NURSE PRACTITONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2016
Last updated Jun 10th, 2016 - about 10 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 1285083139 NPPES
Wisconsin Other 6991-33 STATE OF WISCONSIN

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