Benotsch, Mary Kay

Benotsch, Mary Kay is an sole proprietor health care provider with primary practice located at 505 South Washburn Street , Oshkosh WI 54904. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Benotsch, Mary Kay can be contacted via phone (920) 232-2332.

Contact Information

Primary practice address
505 South Washburn Street Oshkosh WI 54904
Phone: (920) 232-2332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 168085 Wisconsin

Profile Details

NPI number 1326567140
LBN Legal business name Benotsch, Mary Kay
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2017
Last updated Jul 21st, 2022 - about 4 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 1326567140 NPPES
Wisconsin MEDICAID 7754

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