Talley, James Edward

Talley, James Edward is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54305-3400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Talley, James Edward can be contacted via phone (920) 433-5582.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54305-3400
Phone: (920) 433-5582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 133217-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3420-33 Wisconsin

Profile Details

NPI number 1922162593
LBN Legal business name Talley, James Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Nov 29th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922162593 NPPES
Wisconsin MEDICAID 44350900

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