Wisner, Madeleine Justine

Wisner, Madeleine Justine is an sole proprietor health care provider with primary practice located at 2541 28Th St #4 Sacramento , Sacramento CA 95818. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Wisner, Madeleine Justine can be contacted via phone (916) 668-9467.

Contact Information

Primary practice address
2541 28Th St #4 Sacramento Sacramento CA 95818
Phone: (916) 668-9467
Fax: (209) 336-6814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Midwife 176B00000X 510 California

Profile Details

NPI number 1831618370
LBN Legal business name Wisner, Madeleine Justine
Credentials LM, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2017
Last updated Jan 2nd, 2024 - about 2 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 1831618370 NPPES
California MEDICAID 1831618370

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