Schwanebeck, Mary K

Schwanebeck, Mary K is an individual health care provider with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Schwanebeck, Mary K can be contacted via phone (715) 421-7442.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54494-4715
Phone: (715) 421-7442
Fax: (715) 421-7408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 97986 Wisconsin

Profile Details

NPI number 1053429233
LBN Legal business name Schwanebeck, Mary K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 7th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053429233 NPPES
Wisconsin MEDICAID 43835200

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