Mohr, Charmaine G

Mohr, Charmaine G is an individual health care provider with primary practice located at 2700 W Honadel Blvd , Oak Creek WI 53154-2650. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mohr, Charmaine G can be contacted via phone (630) 571-8990.

Contact Information

Primary practice address
2700 W Honadel Blvd Oak Creek WI 53154-2650
Phone: (630) 571-8990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 0017138400 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142795 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 142795 Wisconsin

Profile Details

NPI number 1447297221
LBN Legal business name Mohr, Charmaine G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 6th, 2023 - about last year

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 1447297221 NPPES
Wisconsin MEDICAID 100025681

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