Omdahl, Louise M
Omdahl, Louise M is an individual health care provider with primary practice located at 4328 Old Green Bay Rd , Mount Pleasant WI 53403-9489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Omdahl, Louise M can be contacted via phone (262) 687-7606.Contact Information
Primary practice address
4328 Old Green Bay Rd
Mount Pleasant WI 53403-9489
Phone: (262) 687-7606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5208 | Wisconsin |
Profile Details
| NPI number | 1760720833 |
|---|---|
| LBN Legal business name | Omdahl, Louise M |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2013 |
| Last updated | Oct 1st, 2013 - about 11 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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