Secrest, Elizabeth Anne

Secrest, Elizabeth Anne is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Secrest, Elizabeth Anne can be contacted via phone (920) 674-5961.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-5961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144895640
LBN Legal business name Secrest, Elizabeth Anne
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 4 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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