Bundy, Emily Jean

Bundy, Emily Jean is an individual health care provider with primary practice located at 3301 Turnberry Dr , Janesville WI 53548-9174. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bundy, Emily Jean can be contacted via phone (608) 305-0084.

Contact Information

Primary practice address
3301 Turnberry Dr Janesville WI 53548-9174
Phone: (608) 305-0084
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1467636423
LBN Legal business name Bundy, Emily Jean
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 26th, 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 1467636423 NPPES
Wisconsin Other 35040500 MEDICAID PROVIDER NUMBER

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