Niziol, Sally Rae

Niziol, Sally Rae is an individual health care provider with primary practice located at Highway 64 W6604, Medford WI 54451. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Niziol, Sally Rae can be contacted via phone (171) 574-8091.

Contact Information

Primary practice address
Highway 64 W6604 Medford WI 54451
Phone: (171) 574-8091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Wisconsin

Profile Details

NPI number 1255398947
LBN Legal business name Niziol, Sally Rae
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1255398947 NPPES
Wisconsin MEDICAID 38297500

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