Venes, Connor

Venes, Connor is an individual health care provider with primary practice located at 14555 W National Ave , New Berlin WI 53151-4494. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Venes, Connor can be contacted via phone (262) 827-2955.

Contact Information

Primary practice address
14555 W National Ave New Berlin WI 53151-4494
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4382-23 Wisconsin

Profile Details

NPI number 1750875522
LBN Legal business name Venes, Connor
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Dec 27th, 2021 - about 4 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 1750875522 NPPES
Wisconsin MEDICAID 100078986

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