Kooima, Erin

Kooima, Erin is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Kooima, Erin can be contacted via phone (608) 417-6236.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 417-6377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 11917 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 11917 Wisconsin

Profile Details

NPI number 1013652130
LBN Legal business name Kooima, Erin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated Apr 9th, 2024 - about 8 months 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 1013652130 NPPES
Wisconsin MEDICAID 1013652130

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