Farber, Phyllis

Farber, Phyllis is an individual health care provider with primary practice located at 3181 Conservancy Estates Ln , Sun Prairie WI 53590-9249. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Farber, Phyllis can be contacted via phone (608) 837-7219.

Contact Information

Primary practice address
3181 Conservancy Estates Ln Sun Prairie WI 53590-9249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 6453031 Wisconsin

Profile Details

NPI number 1417900044
LBN Legal business name Farber, Phyllis
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 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 1417900044 NPPES
Wisconsin MEDICAID 38213400

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