Willock, Melissa Anne
Willock, Melissa Anne is an individual health care provider with primary practice located at 3500 N Sherman Blvd , Milwaukee WI 53216-3463. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Willock, Melissa Anne can be contacted via phone (414) 737-3081.Contact Information
Primary practice address
3500 N Sherman Blvd
Milwaukee WI 53216-3463
Phone: (414) 737-3081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1407450349 |
|---|---|
| LBN Legal business name | Willock, Melissa Anne |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2020 |
| Last updated | Apr 4th, 2023 - about 2 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 | 1407450349 | NPPES |
| Wisconsin | MEDICAID | 843581865 |
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