Wilson, Susan J

Wilson, Susan J is an sole proprietor health care provider with primary practice located at 205 E Chestnut St , Pardeeville WI 53954-9125. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wilson, Susan J can be contacted via phone (920) 627-3040.

Contact Information

Primary practice address
205 E Chestnut St Pardeeville WI 53954-9125
Phone: (920) 627-3040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 171449-030 Wisconsin

Profile Details

NPI number 1710150594
LBN Legal business name Wilson, Susan J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Oct 5th, 2015 - about 10 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 1710150594 NPPES
Wisconsin MEDICAID 39931400

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