Schultz, Penny Jo
Schultz, Penny Jo is an sole proprietor health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Schultz, Penny Jo can be contacted via phone (608) 372-3791.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4348-33 | Wisconsin |
Profile Details
| NPI number | 1235436841 |
|---|---|
| LBN Legal business name | Schultz, Penny Jo |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2011 |
| Last updated | Feb 16th, 2011 - about 13 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 | 1235436841 | NPPES |
| Wisconsin | Other | 115450-030 | RESISTERED NURSE |
| Wisconsin | Other | 4348-33 | RESISTERED NURSE |
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