Roethel, Mary Lou
Roethel, Mary Lou is an individual health care provider with primary practice located at 1621 N Taylor Dr Suite 300, Sheboygan WI 53081-1990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roethel, Mary Lou can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1621 N Taylor Dr Suite 300
Sheboygan WI 53081-1990
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4078-33 | Wisconsin |
Profile Details
| NPI number | 1083927412 |
|---|---|
| LBN Legal business name | Roethel, Mary Lou |
| Credentials | MSN,NP-C,APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2010 |
| Last updated | Dec 8th, 2011 - about 15 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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