Noller, Carmen E

Noller, Carmen E is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Emergency Medicine, Milwaukee WI 53226-3522. 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. Noller, Carmen E can be contacted via phone (414) 805-6450.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Emergency Medicine Milwaukee WI 53226-3522
Phone: (414) 805-6450
Fax: (414) 805-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2941 Wisconsin

Profile Details

NPI number 1023371937
LBN Legal business name Noller, Carmen E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Oct 1st, 2020 - about 6 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 1023371937 NPPES
Wisconsin MEDICAID 1023371937

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