Anderson, Kathy J
Anderson, Kathy J is an sole proprietor health care provider with primary practice located at 2115 S Woodshire Dr , New Berlin WI 53151-2302. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Home Health is her primary health care specialty. Anderson, Kathy J can be contacted via phone (262) 786-2329.Contact Information
Primary practice address
2115 S Woodshire Dr
New Berlin WI 53151-2302
Phone: (262) 786-2329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | Wisconsin | |
| Nursing Service Providers / Registered Nurse | 163W00000X | Wisconsin |
Profile Details
| NPI number | 1760520340 |
|---|---|
| LBN Legal business name | Anderson, Kathy J |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Oct 5th, 2007 - about 19 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 | 1760520340 | NPPES |
| Wisconsin | MEDICAID | 38348400 |
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