Prescott, Mark Andrew
Prescott, Mark Andrew is an sole proprietor health care provider with primary practice located at E13616 Idlewild Rd , Merrimac WI 53561-9556. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Prescott, Mark Andrew can be contacted via phone (608) 493-2533.Contact Information
Primary practice address
E13616 Idlewild Rd
Merrimac WI 53561-9556
Phone: (608) 493-2533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 130297030 | Wisconsin |
Profile Details
| NPI number | 1396976254 |
|---|---|
| LBN Legal business name | Prescott, Mark Andrew |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Jul 27th, 2009 - about 15 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 | 1396976254 | NPPES |
| Wisconsin | MEDICAID | 35071300 |
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