Avery, Cynthia Eulalia

Avery, Cynthia Eulalia is an sole proprietor health care provider with primary practice located at 5135 W Harvard Dr , Franklin WI 53132-8191. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Avery, Cynthia Eulalia can be contacted via phone (414) 235-3325.

Contact Information

Primary practice address
5135 W Harvard Dr Franklin WI 53132-8191
Fax: (414) 235-3325
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 123562-030 Wisconsin

Profile Details

NPI number 1760511208
LBN Legal business name Avery, Cynthia Eulalia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated May 19th, 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 1760511208 NPPES
Wisconsin Other 123562-030 RN WISC. LICENSE #
Wisconsin MEDICAID 39981000 RN WISC. LICENSE #

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