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NPI Code Detail

MEDICARE: JANE APPLEGATE PA-C

MEDICARE: JANE APPLEGATE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2532-23WI

General Provider Information

NPI Number : 1437488517
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE APPLEGATE PA-C
Provider Business Mailing Address
First Line : 1617 SHERMAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-5930
Country : US
Telephone Number : 608-245-3133
Fax Number : 608-245-3875
Provider Business Practice Location Address
First Line : 1617 SHERMAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-5930
Country : US
Telephone Number : 608-245-3133
Fax Number : 608-245-3875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2009
Last Update Date : 07/21/2022

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