Marsden-Dull, Patricia Eileen
Marsden-Dull, Patricia Eileen is an sole proprietor health care provider with primary practice located at 6905 Green Bay Rd Suite 102, Kenosha WI 53142-1458. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Marsden-Dull, Patricia Eileen can be contacted via phone (262) 697-5000.Contact Information
Primary practice address
6905 Green Bay Rd Suite 102
Kenosha WI 53142-1458
Phone: (262) 697-5000
Fax: (262) 697-1996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 3753-012 | Wisconsin |
Profile Details
| NPI number | 1447343587 |
|---|---|
| LBN Legal business name | Marsden-Dull, Patricia Eileen |
| Credentials | D.C., CCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Dec 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447343587 | NPPES |
| Wisconsin | MEDICAID | 38995500 |
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