Poenitsch, Rachel Renee

Poenitsch, Rachel Renee is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. 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. Poenitsch, Rachel Renee can be contacted via phone (262) 884-4000.

Contact Information

Primary practice address
8400 Washington Ave Mount Pleasant WI 53406-3735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5215 Wisconsin

Profile Details

NPI number 1215557566
LBN Legal business name Poenitsch, Rachel Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated May 10th, 2024 - 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 1215557566 NPPES
Wisconsin MEDICAID 100160582

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