Mennen, Julia Nicole

Mennen, Julia Nicole is an individual health care provider with primary practice located at 1032 S Cesar E Chavez Dr , Milwaukee WI 53204-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mennen, Julia Nicole can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1511 Wisconsin

Profile Details

NPI number 1407852916
LBN Legal business name Mennen, Julia Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about 2 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 1407852916 NPPES
Wisconsin Other 39280350003 BC/BS
Wisconsin MEDICAID 41972400 BC/BS

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