Puskala, Charlene Renee
Puskala, Charlene Renee is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Puskala, Charlene Renee can be contacted via phone (608) 267-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 4186-024 | Wisconsin |
Profile Details
| NPI number | 1700944550 |
|---|---|
| LBN Legal business name | Puskala, Charlene Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1700944550 | NPPES |
| Wisconsin | MEDICAID | 36124000 |
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