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Contact Information

JAMIE C COOLEY
9200 W WISCONSIN AVE
MILWAUKEE, WI53226
 Phone: 414-805-3100
 Fax: 414-259-1145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMIE C COOLEY · (Female)

NPI Number 1114448560
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2017
Last updated 04/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4115
  • WI Medicaid 1114448560
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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