Tlachac, Elizabeth Jane

Tlachac, Elizabeth Jane is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Obstetric, Inpatient. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tlachac, Elizabeth Jane can be contacted via phone (920) 490-9046.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 490-9046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13119 Wisconsin
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 223849 Wisconsin

Profile Details

NPI number 1891277703
LBN Legal business name Tlachac, Elizabeth Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2018
Last updated Apr 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891277703 NPPES
Wisconsin MEDICAID 100228350

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