Wencka, Debra Marie

Wencka, Debra Marie is an individual health care provider with primary practice located at 6580 S 46Th St , Franklin WI 53132-8153. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wencka, Debra Marie can be contacted via phone (414) 421-0276.

Contact Information

Primary practice address
6580 S 46Th St Franklin WI 53132-8153
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1376588855
LBN Legal business name Wencka, Debra Marie
Credentials RN/RCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376588855 NPPES
Wisconsin MEDICAID 35002200

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