Cervenansky, Bethany

Cervenansky, Bethany is an sole proprietor health care provider with primary practice located at 6769 Winkler Rd , Three Lakes WI 54562-9369. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cervenansky, Bethany can be contacted via phone (715) 546-3983.

Contact Information

Primary practice address
6769 Winkler Rd Three Lakes WI 54562-9369
Phone: (715) 546-3983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 310395-031 Wisconsin

Profile Details

NPI number 1619126919
LBN Legal business name Cervenansky, Bethany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2008
Last updated Sep 11th, 2008 - about 18 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 1619126919 NPPES
Wisconsin MEDICAID 35068000

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