Pauer, Mackenzie Ryan

Pauer, Mackenzie Ryan is an individual health care provider with primary practice located at 5735 Durand Ave , Mount Pleasant WI 53406-5011. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pauer, Mackenzie Ryan can be contacted via phone (262) 977-9488.

Contact Information

Primary practice address
5735 Durand Ave Mount Pleasant WI 53406-5011
Phone: (262) 977-9488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 325707 Wisconsin

Profile Details

NPI number 1447859699
LBN Legal business name Pauer, Mackenzie Ryan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2020
Last updated Jun 3rd, 2022 - about 2 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 1447859699 NPPES
Wisconsin MEDICAID 1447859699

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