Metternich, Carolyn J

Metternich, Carolyn J is an individual health care provider with primary practice located at N120W13079 Freistadt Rd , Germantown WI 53022-2220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Metternich, Carolyn J can be contacted via phone (262) 707-1229.

Contact Information

Primary practice address
N120W13079 Freistadt Rd Germantown WI 53022-2220
Phone: (262) 707-1229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3494-33 Wisconsin

Profile Details

NPI number 1023267184
LBN Legal business name Metternich, Carolyn J
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Oct 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023267184 NPPES
Wisconsin MEDICAID 100000979

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