Burns, Therese M.

Burns, Therese M. is an sole proprietor health care provider with primary practice located at W487 State Road 67 , Saint Cloud WI 53079-1706. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Burns, Therese M. can be contacted via phone (920) 477-6900.

Contact Information

Primary practice address
W487 State Road 67 Saint Cloud WI 53079-1706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 23758-031 Wisconsin

Profile Details

NPI number 1619134384
LBN Legal business name Burns, Therese M.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 17 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 1619134384 NPPES
Wisconsin MEDICAID 35056200

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