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Contact Information

TABATHA A RANGEL, PA
N11896 W175
LOMIRA, WI53048
 Phone: 414-566-6400
 Fax: 414-566-3866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TABATHA A RANGEL · (Female)

NPI # 1578530614
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1476-023
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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