Anderson-Luckett, Cheryl

Anderson-Luckett, Cheryl is an sole proprietor health care provider with primary practice located at 5901 N 71St St , Milwaukee WI 53218-1821. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson-Luckett, Cheryl can be contacted via phone (414) 461-2018.

Contact Information

Primary practice address
5901 N 71St St Milwaukee WI 53218-1821
Phone: (414) 461-2018
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 303125031 Wisconsin

Profile Details

NPI number 1700044989
LBN Legal business name Anderson-Luckett, Cheryl
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2008
Last updated May 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700044989 NPPES
Wisconsin MEDICAID 35057800

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