Wichgers, Terri A
Wichgers, Terri A is an individual health care provider with primary practice located at 2893 S 128Th St , New Berlin WI 53151-4029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wichgers, Terri A can be contacted via phone (920) 574-8670.Contact Information
Primary practice address
2893 S 128Th St
New Berlin WI 53151-4029
Phone: (920) 574-8670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1638 | Wisconsin |
Profile Details
NPI number | 1144272600 |
---|---|
LBN Legal business name | Wichgers, Terri A |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Feb 4th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144272600 | NPPES |
Wisconsin | MEDICAID | 42865900 |
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