Mejia, Etienne A.

Mejia, Etienne A. is an individual health care provider with primary practice located at 277 Altenhofen Dr , Appleton WI 54913-8401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mejia, Etienne A. can be contacted via phone (920) 993-1643.

Contact Information

Primary practice address
277 Altenhofen Dr Appleton WI 54913-8401
Phone: (920) 993-1643
Fax: (920) 993-1645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 41224 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 41224 Wisconsin

Profile Details

NPI number 1184648131
LBN Legal business name Mejia, Etienne A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184648131 NPPES
Wisconsin Other 391821816017 BC/BS

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