Cieslak, Mary Ellen

Cieslak, Mary Ellen is an individual health care provider with primary practice located at 7568 S 74Th St , Franklin WI 53132-9756. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Cieslak, Mary Ellen can be contacted via phone (414) 425-6427.

Contact Information

Primary practice address
7568 S 74Th St Franklin WI 53132-9756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 73707-030 Wisconsin

Profile Details

NPI number 1366404881
LBN Legal business name Cieslak, Mary Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 9th, 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 1366404881 NPPES
Wisconsin MEDICAID 38204600

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