Wilbert, Tanya A
Wilbert, Tanya A is an sole proprietor health care provider with primary practice located at 1915 W Fairmount Ave , Milwaukee WI 53209. She recently has only one registered license in Transportation Services / Transportation Broker, which is considered as her primary health care specialty. Wilbert, Tanya A can be contacted via phone (414) 795-9731.Contact Information
Primary practice address
1915 W Fairmount Ave
Milwaukee WI 53209
Phone: (414) 795-9731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Transportation Broker | 347E00000X | W4168017666106 | Wisconsin |
Profile Details
| NPI number | 1205465176 |
|---|---|
| LBN Legal business name | Wilbert, Tanya A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2020 |
| Last updated | Apr 3rd, 2020 - about 6 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 | 1205465176 | NPPES |
| Wisconsin | MEDICAID | 46-4216712 |
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