Poulin, Lane Ellen

Poulin, Lane Ellen is an sole proprietor health care provider with primary practice located at 44045 Wheatville Road , Gays Mills WI 54631. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Poulin, Lane Ellen can be contacted via phone (608) 872-2156.

Contact Information

Primary practice address
44045 Wheatville Road Gays Mills WI 54631
Phone: (608) 872-2156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 32436031 Wisconsin

Profile Details

NPI number 1962674689
LBN Legal business name Poulin, Lane Ellen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 2008 - about 16 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 1962674689 NPPES
Wisconsin MEDICAID 35053100

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