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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609011121 NPPES
Wisconsin Other 109757 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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