Roach, Ida Lee

Roach, Ida Lee is an sole proprietor health care provider with primary practice located at 5319 N 48Th St , Milwaukee WI 53218-3432. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Roach, Ida Lee can be contacted via phone (414) 915-4926.

Contact Information

Primary practice address
5319 N 48Th St Milwaukee WI 53218-3432
Phone: (414) 915-4926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 309438-031 Wisconsin

Profile Details

NPI number 1851543789
LBN Legal business name Roach, Ida Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2008
Last updated Oct 23rd, 2008 - 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.

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