Medina, Marissa Veronica

Medina, Marissa Veronica is an individual health care provider with primary practice located at 3842 N 68Th St , Milwaukee WI 53216-2010. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Medina, Marissa Veronica can be contacted via phone (414) 499-7363.

Contact Information

Primary practice address
3842 N 68Th St Milwaukee WI 53216-2010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1992580997
LBN Legal business name Medina, Marissa Veronica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2023
Last updated Aug 28th, 2023 - about last year

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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