Buentello, Carol

Buentello, Carol is an individual health care provider with primary practice located at 420 W Magnetic St , Marquette MI 49855-2700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Buentello, Carol can be contacted via phone (906) 225-3406.

Contact Information

Primary practice address
420 W Magnetic St Marquette MI 49855-2700
Phone: (906) 225-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704222255 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10078 Wisconsin

Profile Details

NPI number 1720429566
LBN Legal business name Buentello, Carol
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2013
Last updated Aug 27th, 2024 - about 2 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 1720429566 NPPES
Wisconsin MEDICAID 100178486

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