Spannbauer, Lisa M
Spannbauer, Lisa M is an individual health care provider with primary practice located at 2085 N Calhoun Road Second Floor, Brookfield WI 53005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spannbauer, Lisa M can be contacted via phone (262) 827-9200.Contact Information
Primary practice address
2085 N Calhoun Road Second Floor
Brookfield WI 53005
Phone: (262) 827-9200
Fax: (262) 827-8641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4083-33 | Wisconsin |
Profile Details
NPI number | 1043548365 |
---|---|
LBN Legal business name | Spannbauer, Lisa M |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2009 |
Last updated | Aug 10th, 2010 - about 14 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 | 1043548365 | NPPES |
Illinois | Other | 041.380918 | RN LICENSE |
Illinois | Other | 209.007912 | RN LICENSE |
Illinois | Other | 4083-33 | RN LICENSE |
Illinois | Other | 149451-30 | RN LICENSE |
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