Marks, Heather Ellen

Marks, Heather Ellen is an individual health care provider with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Marks, Heather Ellen can be contacted via phone (608) 355-5177.

Contact Information

Primary practice address
S2845 White Eagle Rd Baraboo WI 53913-9064
Phone: (608) 355-5177
Fax: (608) 356-1233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X Wisconsin

Profile Details

NPI number 1578165080
LBN Legal business name Marks, Heather Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2020
Last updated Nov 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578165080 NPPES
Wisconsin Other 0902238 CPHT

Popular Providers