Mcallister, Judith L

Mcallister, Judith L is an individual health care provider with primary practice located at 190 Grand Seasons Dr , Waupaca WI 54981-8219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcallister, Judith L can be contacted via phone (715) 258-3650.

Contact Information

Primary practice address
190 Grand Seasons Dr Waupaca WI 54981-8219
Fax:
Website:

Health care specialties

Profile Details

NPI number 1790830883
LBN Legal business name Mcallister, Judith L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 25th, 2019 - about 5 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 1790830883 NPPES
Wisconsin MEDICAID 36000200

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