Botello, Jose M.

Botello, Jose M. is an sole proprietor health care provider with primary practice located at 128 Deer Creek Ct Apt. 5, Jefferson WI 53549-1188. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Botello, Jose M. can be contacted via phone (920) 397-0152.

Contact Information

Primary practice address
128 Deer Creek Ct Apt. 5 Jefferson WI 53549-1188
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 306116-031 Wisconsin

Profile Details

NPI number 1891022554
LBN Legal business name Botello, Jose M.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - 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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