Anderson Mayer, Judith Ellen
Anderson Mayer, Judith Ellen is an sole proprietor health care provider with primary practice located at 2131 Ridge Dr , Lake Geneva WI 53147-3627. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Anderson Mayer, Judith Ellen can be contacted via phone (262) 249-0349.Contact Information
Primary practice address
2131 Ridge Dr
Lake Geneva WI 53147-3627
Phone: (262) 249-0349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 128473-030 | Wisconsin |
Profile Details
| NPI number | 1447444054 |
|---|---|
| LBN Legal business name | Anderson Mayer, Judith Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 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 | 1447444054 | NPPES |
| Wisconsin | MEDICAID | 38210800 |
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