Theis, Janice Mary
Theis, Janice Mary is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Theis, Janice Mary can be contacted via phone (414) 805-3482.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-3482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3078-33 | Wisconsin |
Profile Details
| NPI number | 1821212721 |
|---|---|
| LBN Legal business name | Theis, Janice Mary |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1821212721 | NPPES |
| Wisconsin | Other | 85300-30 | RN LICENSE |
| Wisconsin | Other | 2007000382-28 | RN LICENSE |
| Wisconsin | Other | 3078-33 | RN LICENSE |
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