Martell, Deborah Lynn

Martell, Deborah Lynn is an sole proprietor health care provider with primary practice located at 13606 W Fountain Ct , New Berlin WI 53151-3975. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Martell, Deborah Lynn can be contacted via phone (262) 796-1554.

Contact Information

Primary practice address
13606 W Fountain Ct New Berlin WI 53151-3975
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27805-031 Wisconsin

Profile Details

NPI number 1821261835
LBN Legal business name Martell, Deborah Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2008
Last updated Apr 10th, 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 1821261835 NPPES
Wisconsin MEDICAID 39830200

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