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:
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Health care specialties

SpecialtyCodeLicense #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 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 1962677500 NPPES
Wisconsin MEDICAID 41862300

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