Miller, Charlene Mae
Miller, Charlene Mae is an sole proprietor health care provider with primary practice located at 1126 Daggett , Marinette WI 54143. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Charlene Mae can be contacted via phone (715) 923-5903.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | Wisconsin |
Profile Details
| NPI number | 1538338926 |
|---|---|
| LBN Legal business name | Miller, Charlene Mae |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 29th, 2008 |
| Last updated | Feb 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538338926 | NPPES |
| Wisconsin | MEDICAID | 35050400 |
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