Fernholz, Marcia Jane
Fernholz, Marcia Jane is an individual health care provider with primary practice located at 730 Washington Ave , Racine WI 53403-1146. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Fernholz, Marcia Jane can be contacted via phone (262) 636-9203.Contact Information
Primary practice address
730 Washington Ave
Racine WI 53403-1146
Phone: (262) 636-9203
Fax: (262) 636-9165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Technician | 374700000X |
Profile Details
NPI number | 1962677500 |
---|---|
LBN Legal business name | Fernholz, Marcia Jane |
Credentials | BS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2008 |
Last updated | Apr 24th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962677500 | NPPES |
Wisconsin | MEDICAID | 41862300 |
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