Mueller, Jeffrey W

Mueller, Jeffrey W is an individual health care provider with primary practice located at 1526 Rose St , La Crosse WI 54603-2245. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mueller, Jeffrey W can be contacted via phone (608) 781-9880.

Contact Information

Primary practice address
1526 Rose St La Crosse WI 54603-2245
Phone: (608) 781-9880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 151 Wisconsin

Profile Details

NPI number 1548264989
LBN Legal business name Mueller, Jeffrey W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 16th, 2014 - about 11 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 1548264989 NPPES
Wisconsin MEDICAID 42920900

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