Sponagle, Christine A
Sponagle, Christine A is an individual health care provider with primary practice located at 1111 Delafield St Suite311, Waukesha WI 53188-3417. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sponagle, Christine A can be contacted via phone (262) 544-4411.Contact Information
Primary practice address
1111 Delafield St Suite311
Waukesha WI 53188-3417
Phone: (262) 544-4411
Fax: (262) 650-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 43931020 | Wisconsin |
Profile Details
| NPI number | 1245203207 |
|---|---|
| LBN Legal business name | Sponagle, Christine A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jul 17th, 2013 - about 11 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 | 1245203207 | NPPES |
| Wisconsin | MEDICAID | 34499700 |
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