Inserra, David

Inserra, David is an sole proprietor health care provider with primary practice located at 108 W Wall St , Eagle River WI 54521-9811. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Inserra, David can be contacted via phone (715) 479-1069.

Contact Information

Primary practice address
108 W Wall St Eagle River WI 54521-9811
Phone: (715) 479-1069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051297939 Illinois

Profile Details

NPI number 1558082651
LBN Legal business name Inserra, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2022
Last updated Sep 7th, 2022 - about 2 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 1558082651 NPPES
Wisconsin MEDICAID 361924025

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