Bort, Anna Marie

Bort, Anna Marie is an individual health care provider with primary practice located at 2031 Charles St , Racine WI 53402-4609. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bort, Anna Marie can be contacted via phone (262) 637-5302.

Contact Information

Primary practice address
2031 Charles St Racine WI 53402-4609
Phone: (262) 637-5302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 304505-31 Wisconsin

Profile Details

NPI number 1689956229
LBN Legal business name Bort, Anna Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Sep 9th, 2011 - about 13 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 1689956229 NPPES
Wisconsin Other 164 W00000X TAX NUMBER

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