Herzig, Diane Mary

Herzig, Diane Mary is an sole proprietor health care provider with primary practice located at 1842 Delaware St , Oshkosh WI 54902-6729. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Herzig, Diane Mary can be contacted via phone (920) 237-0127.

Contact Information

Primary practice address
1842 Delaware St Oshkosh WI 54902-6729
Phone: (920) 237-0127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309737-031 Wisconsin

Profile Details

NPI number 1942457114
LBN Legal business name Herzig, Diane Mary
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942457114 NPPES
Wisconsin MEDICAID 35066900

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