Mersereau, Carol Ann
Mersereau, Carol Ann is an sole proprietor health care provider with primary practice located at 280 East Broadway Suite 806, Jackson WY 83001. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Mersereau, Carol Ann can be contacted via phone (307) 733-0507.Contact Information
Primary practice address
280 East Broadway Suite 806
Jackson WY 83001
Phone: (307) 733-0507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X |
Profile Details
| NPI number | 1205056934 |
|---|---|
| LBN Legal business name | Mersereau, Carol Ann |
| Credentials | DIPL. AC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205056934 | NPPES |
| Other | 002874 | NCCAOM |
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