Retzer, Carol M
Retzer, Carol M is an individual health care provider with primary practice located at 4555 W Schroeder Dr Ste 185 , Brown Deer WI 53223-1494. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Retzer, Carol M can be contacted via phone (414) 586-0222.Contact Information
Primary practice address
4555 W Schroeder Dr Ste 185
Brown Deer WI 53223-1494
Phone: (414) 586-0222
Fax: (414) 586-0236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 27752-031 | Wisconsin |
Profile Details
| NPI number | 1427247709 |
|---|---|
| LBN Legal business name | Retzer, Carol M |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Oct 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427247709 | NPPES |
| Wisconsin | MEDICAID | 42017500 |
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