Illies, Martha Jean

Illies, Martha Jean is an individual health care provider with primary practice located at 8496 Silverview Ct , Lorton VA 22079-4404. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Illies, Martha Jean can be contacted via phone (414) 339-9124.

Contact Information

Primary practice address
8496 Silverview Ct Lorton VA 22079-4404
Phone: (414) 339-9124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 173850-30 Wisconsin

Profile Details

NPI number 1881208882
LBN Legal business name Illies, Martha Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2020
Last updated Sep 7th, 2020 - about 6 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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