Larue, Nicholas

Larue, Nicholas is an individual health care provider with primary practice located at 8701 W Watertown Plank Rd , Milwaukee WI 53226-3548. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Larue, Nicholas can be contacted via phone (414) 955-8296.

Contact Information

Primary practice address
8701 W Watertown Plank Rd Milwaukee WI 53226-3548
Phone: (414) 955-8296
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1730680596
LBN Legal business name Larue, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Feb 26th, 2018 - about 7 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 1730680596 NPPES
Wisconsin MEDICAID 6452628968

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