Gamble, Dorothy R

Gamble, Dorothy R is an individual health care provider with primary practice located at 2832 N 58Th St , Milwaukee WI 53210-1541. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gamble, Dorothy R can be contacted via phone (414) 873-0141.

Contact Information

Primary practice address
2832 N 58Th St Milwaukee WI 53210-1541
Phone: (414) 873-0141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 32386-031 Wisconsin

Profile Details

NPI number 1538138193
LBN Legal business name Gamble, Dorothy R
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 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 1538138193 NPPES
Wisconsin MEDICAID 39971800

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