Sova, Laura M

Sova, Laura M is an individual health care provider with primary practice located at 143 S Gibson St , Medford WI 54451-1622. 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. Sova, Laura M can be contacted via phone (715) 748-2121.

Contact Information

Primary practice address
143 S Gibson St Medford WI 54451-1622
Phone: (715) 748-2121
Fax: (715) 748-7590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 97345 Wisconsin

Profile Details

NPI number 1891707881
LBN Legal business name Sova, Laura M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 15th, 2012 - about 12 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 1891707881 NPPES
Wisconsin MEDICAID 43899600

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