Pauly, Vicki L.

Pauly, Vicki L. is an sole proprietor health care provider with primary practice located at 151 N University Dr Unit 115 , West Bend WI 53095-2936. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pauly, Vicki L. can be contacted via phone (262) 224-3369.

Contact Information

Primary practice address
151 N University Dr Unit 115 West Bend WI 53095-2936
Phone: (262) 224-3369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Wisconsin

Profile Details

NPI number 1548391196
LBN Legal business name Pauly, Vicki L.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1548391196 NPPES
Wisconsin MEDICAID 35008900

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