Boettcher, Kathleen Marie
Boettcher, Kathleen Marie is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boettcher, Kathleen Marie can be contacted via phone (920) 686-5731.Contact Information
Primary practice address
3509 Dewey St
Manitowoc WI 54220-5813
Phone: (920) 686-5731
Fax: (920) 686-5726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6578 | Wisconsin |
Profile Details
| NPI number | 1568838951 |
|---|---|
| LBN Legal business name | Boettcher, Kathleen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Nov 23rd, 2021 - about 5 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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