Quella, Carolyn
Quella, Carolyn is an individual health care provider with primary practice located at W180N7950 Town Hall Rd , Menomonee Falls WI 53051-4049. 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. Quella, Carolyn can be contacted via phone (262) 255-2500.Contact Information
Primary practice address
W180N7950 Town Hall Rd
Menomonee Falls WI 53051-4049
Phone: (262) 255-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 818 | Wisconsin |
Profile Details
| NPI number | 1841256344 |
|---|---|
| LBN Legal business name | Quella, Carolyn |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Sep 16th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841256344 | NPPES |
| Wisconsin | MEDICAID | 42943300 |
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