Gresen, Corrine Lynn

Gresen, Corrine Lynn is an individual health care provider with primary practice located at 721 American Ave Suite 501, Waukesha WI 53188-5071. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gresen, Corrine Lynn can be contacted via phone (262) 928-2396.

Contact Information

Primary practice address
721 American Ave Suite 501 Waukesha WI 53188-5071
Fax: (262) 544-1213
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1675-125 Wisconsin

Profile Details

NPI number 1972668457
LBN Legal business name Gresen, Corrine Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 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 1972668457 NPPES
Wisconsin MEDICAID 42125500

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