Pauloni, Mary B

Pauloni, Mary B is an sole proprietor health care provider with primary practice located at 6915 45Th Ave , Kenosha WI 53142-3832. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pauloni, Mary B can be contacted via phone (262) 658-1840.

Contact Information

Primary practice address
6915 45Th Ave Kenosha WI 53142-3832
Phone: (262) 658-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 20329-031 Wisconsin

Profile Details

NPI number 1215070701
LBN Legal business name Pauloni, Mary B
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1215070701 NPPES
Wisconsin MEDICAID 39999000

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