Derksen, Maria

Derksen, Maria is an individual health care provider with primary practice located at 33 University Ave , Beaver Dam WI 53916-8847. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Derksen, Maria can be contacted via phone (920) 356-6936.

Contact Information

Primary practice address
33 University Ave Beaver Dam WI 53916-8847
Phone: (920) 356-6936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1671-19 Wisconsin

Profile Details

NPI number 1669803268
LBN Legal business name Derksen, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 12 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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