Manibog, Marissa C

Manibog, Marissa C is an sole proprietor health care provider with primary practice located at 127 Beth Cir , Plymouth WI 53073-2649. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Manibog, Marissa C can be contacted via phone (920) 892-7044.

Contact Information

Primary practice address
127 Beth Cir Plymouth WI 53073-2649
Phone: (920) 892-7044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 313088-31 Wisconsin

Profile Details

NPI number 1730616319
LBN Legal business name Manibog, Marissa C
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2017
Last updated May 15th, 2017 - about 8 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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