Thibodeau, Casey Ann

Thibodeau, Casey Ann is an individual health care provider with primary practice located at 2301 S Oneida St , Green Bay WI 54304-5230. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Thibodeau, Casey Ann can be contacted via phone (920) 490-0424.

Contact Information

Primary practice address
2301 S Oneida St Green Bay WI 54304-5230
Fax: (920) 490-0651
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15990-40 Wisconsin

Profile Details

NPI number 1689959710
LBN Legal business name Thibodeau, Casey Ann
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Oct 20th, 2011 - about 14 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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