Healthcare Provider Details

I. General information

NPI: 1497755920
Provider Name (Legal Business Name): J MICHAEL HELF PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES MICHAEL HELF

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 WESTOWNE DR
NEENAH WI
54956-2175
US

IV. Provider business mailing address

1136 WESTOWNE DR
NEENAH WI
54956-2175
US

V. Phone/Fax

Practice location:
  • Phone: 920-720-8200
  • Fax: 920-720-8131
Mailing address:
  • Phone: 920-720-8200
  • Fax: 920-720-8131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number430
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: