Motiff, Desiree
Motiff, Desiree is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Motiff, Desiree can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1821 S Webster Ave
Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax: (920) 431-1972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1609011121 |
|---|---|
| LBN Legal business name | Motiff, Desiree |
| Credentials | CST/CFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2008 |
| Last updated | Dec 12th, 2008 - 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 | 1609011121 | NPPES |
| Wisconsin | Other | 109757 | NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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