Doerr, Mary Denise

Doerr, Mary Denise is an sole proprietor health care provider with primary practice located at 322 N Dunlap Ave , Viroqua WI 54665-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Doerr, Mary Denise can be contacted via phone (608) 637-2716.

Contact Information

Primary practice address
322 N Dunlap Ave Viroqua WI 54665-1321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 120023-032 Wisconsin

Profile Details

NPI number 1326131178
LBN Legal business name Doerr, Mary Denise
Credentials CNM, APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1326131178 NPPES
Wisconsin MEDICAID 38255900

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