Cairo, Mary Jamie

Cairo, Mary Jamie is an individual health care provider with primary practice located at 6811 118Th Ave , Kenosha WI 53142-8420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cairo, Mary Jamie can be contacted via phone (262) 857-5750.

Contact Information

Primary practice address
6811 118Th Ave Kenosha WI 53142-8420
Phone: (262) 857-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 693 Wisconsin

Profile Details

NPI number 1962493635
LBN Legal business name Cairo, Mary Jamie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 15th, 2024 - about last year

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 1962493635 NPPES
Wisconsin Other P00823712 RR MEDICARE
Wisconsin MEDICAID 43904300 RR MEDICARE

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