Komro, Katie M
Komro, Katie M is an individual health care provider with primary practice located at 1200 Oakleaf Way Suite A, Altoona WI 54720-2245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Komro, Katie M can be contacted via phone (715) 832-1400.Contact Information
Primary practice address
1200 Oakleaf Way Suite A
Altoona WI 54720-2245
Phone: (715) 832-1400
Fax: (715) 832-4187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5017-33 | Wisconsin |
Profile Details
| NPI number | 1508113457 |
|---|---|
| LBN Legal business name | Komro, Katie M |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Dec 20th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508113457 | NPPES |
| Wisconsin | MEDICAID | 1508113457 |
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