Anderson, Martha Jo
Anderson, Martha Jo is an sole proprietor health care provider with primary practice located at 1511 Tiffany St , Boyceville WI 54725-9543. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson, Martha Jo can be contacted via phone (715) 643-2208.Contact Information
Primary practice address
1511 Tiffany St
Boyceville WI 54725-9543
Phone: (715) 643-2208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 34725 | Wisconsin |
Profile Details
| NPI number | 1487856514 |
|---|---|
| LBN Legal business name | Anderson, Martha Jo |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487856514 | NPPES |
| Wisconsin | MEDICAID | 35015900 |
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