Anderson, Steven Mark

Anderson, Steven Mark is an individual health care provider with primary practice located at 1511 Tiffany St , Boyceville WI 54725-9543. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Anderson, Steven Mark 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:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 304080 Wisconsin

Profile Details

NPI number 1326264599
LBN Legal business name Anderson, Steven Mark
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326264599 NPPES
Wisconsin MEDICAID 35015700

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