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Contact Information

COURTNEY B RICHTER, PA-C
13111 N PORT WASHINGTON RD
MEQUON, WI53097
 Phone: 414-290-6720
 Fax: 414-290-6755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COURTNEY B RICHTER · (Female)

NPI # 1447348545
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/11/2006
Last updated 08/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA750
  • WI License # 2069
  • ID Medicaid 808128200
  • WI Medicaid 1447348545
Hospital affiliation(s) Not Available
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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