Bernard, Susan Margaret

Bernard, Susan Margaret is an individual health care provider with primary practice located at 1020 S 62Nd St , West Allis WI 53214-3213. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bernard, Susan Margaret can be contacted via phone (414) 453-7684.

Contact Information

Primary practice address
1020 S 62Nd St West Allis WI 53214-3213
Phone: (414) 453-7684
Fax: (414) 453-7684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 30129 031 Wisconsin

Profile Details

NPI number 1639153042
LBN Legal business name Bernard, Susan Margaret
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639153042 NPPES
Wisconsin MEDICAID 39990100

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