Cicero, Marilou L

Cicero, Marilou L is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code 2433, Madison WI 53792-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Cicero, Marilou L can be contacted via phone (608) 662-0817.

Contact Information

Primary practice address
600 Highland Ave Compliance Mail Code 2433 Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 2848-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 139407030 Wisconsin

Profile Details

NPI number 1205098605
LBN Legal business name Cicero, Marilou L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - 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 1205098605 NPPES
Wisconsin Other 2848-033 NURSE PRESCRIBER - PAIN MANAGEMENT
Wisconsin Other 139407030 NURSE PRESCRIBER - PAIN MANAGEMENT
Wisconsin Other 2005007279-05 NURSE PRESCRIBER - PAIN MANAGEMENT

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