Botterman, Colleen Marie

Botterman, Colleen Marie is an sole proprietor health care provider with primary practice located at 500 City Ctr , Oshkosh WI 54901-4830. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Botterman, Colleen Marie can be contacted via phone (920) 410-2555.

Contact Information

Primary practice address
500 City Ctr Oshkosh WI 54901-4830
Phone: (920) 410-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 143446-030 Wisconsin
Nursing Service Providers / Case Management 163WC0400X 143446-30 Wisconsin

Profile Details

NPI number 1205009586
LBN Legal business name Botterman, Colleen Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Sep 8th, 2010 - about 14 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 1205009586 NPPES
Wisconsin MEDICAID 35046600

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