Niesen, Michelle

Niesen, Michelle is an individual health care provider with primary practice located at 1180 Prairie St , Prairie Du Sac WI 53578-2044. 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. Niesen, Michelle can be contacted via phone (608) 434-6600.

Contact Information

Primary practice address
1180 Prairie St Prairie Du Sac WI 53578-2044
Phone: (608) 434-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1075 Wisconsin

Profile Details

NPI number 1518065101
LBN Legal business name Niesen, Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 24th, 2024 - about 6 months 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 1518065101 NPPES
Wisconsin MEDICAID 42973700

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