Reese, Gladys Shan
Reese, Gladys Shan is an sole proprietor health care provider with primary practice located at 6066 Wildwood Lake Cir , Rhinelander WI 54501-9793. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Reese, Gladys Shan can be contacted via phone (715) 369-0311.Contact Information
Primary practice address
6066 Wildwood Lake Cir
Rhinelander WI 54501-9793
Phone: (715) 369-0311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 83990-030 | Wisconsin |
Profile Details
| NPI number | 1235466038 |
|---|---|
| LBN Legal business name | Reese, Gladys Shan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2009 |
| Last updated | Nov 16th, 2009 - about 17 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 | 1235466038 | NPPES |
| Wisconsin | MEDICAID | 38325806 |
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