Omernik, Katie Marie
Omernik, Katie Marie is an individual health care provider with primary practice located at 2031 Peach St , Wisconsin Rapids WI 54494-5181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Omernik, Katie Marie can be contacted via phone (715) 423-0122.Contact Information
Primary practice address
2031 Peach St
Wisconsin Rapids WI 54494-5181
Phone: (715) 423-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7916-33 | Wisconsin |
Profile Details
| NPI number | 1083132526 |
|---|---|
| LBN Legal business name | Omernik, Katie Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2017 |
| Last updated | Dec 20th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083132526 | NPPES |
| Wisconsin | MEDICAID | 1083132526 |
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