Phelps, Eric Gerald

Phelps, Eric Gerald is an sole proprietor health care provider with primary practice located at 104 N 11Th St , Cornell WI 54732-8106. He recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as his primary health care specialty. Phelps, Eric Gerald can be contacted via phone (715) 202-3586.

Contact Information

Primary practice address
104 N 11Th St Cornell WI 54732-8106
Phone: (715) 202-3586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1003583238
LBN Legal business name Phelps, Eric Gerald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003583238 NPPES
Wisconsin MEDICAID 100178091

Popular Providers