Smith, Mischeryl Antoinette
Smith, Mischeryl Antoinette is an individual health care provider with primary practice located at 7707 W Glenbrook Rd , Milwaukee WI 53223-1060. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Smith, Mischeryl Antoinette can be contacted via phone (414) 355-9903.Contact Information
Primary practice address
7707 W Glenbrook Rd
Milwaukee WI 53223-1060
Phone: (414) 355-9903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | Wisconsin |
Profile Details
| NPI number | 1407817968 |
|---|---|
| LBN Legal business name | Smith, Mischeryl Antoinette |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 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 | 1407817968 | NPPES |
| Wisconsin | Other | 39985100 | PROVIDER NUMBER |
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