Wachholz, Lisa A

Wachholz, Lisa A is an individual health care provider with primary practice located at 451 Junction Rd , Madison WI 53717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wachholz, Lisa A can be contacted via phone (608) 263-0150.

Contact Information

Primary practice address
451 Junction Rd Madison WI 53717
Fax: (608) 833-6932
Website:

Health care specialties

Profile Details

NPI number 1851360218
LBN Legal business name Wachholz, Lisa A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851360218 NPPES
Wisconsin MEDICAID 39900700

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