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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023267184 | NPPES |
Wisconsin | MEDICAID | 100000979 |
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