Perkins-Weathersby, Olethea M
Perkins-Weathersby, Olethea M is an sole proprietor health care provider with primary practice located at 10429 W Sheridan Ave , Milwaukee WI 53225-3241. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Perkins-Weathersby, Olethea M can be contacted via phone (414) 841-5613.Contact Information
Primary practice address
10429 W Sheridan Ave
Milwaukee WI 53225-3241
Phone: (414) 841-5613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 0018034 | Wisconsin |
Profile Details
| NPI number | 1649869553 |
|---|---|
| LBN Legal business name | Perkins-Weathersby, Olethea M |
| Credentials | CBRF CERTIFIED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2021 |
| Last updated | Jan 14th, 2021 - about 4 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 | 1649869553 | NPPES |
| Wisconsin | MEDICAID | 20196425 |
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