Wolf, Heather R
Wolf, Heather R is an sole proprietor health care provider with primary practice located at 1470 12Th Street , Fennimore WI 53809. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wolf, Heather R can be contacted via phone (608) 822-3367.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | Wisconsin |
Profile Details
| NPI number | 1003094301 |
|---|---|
| LBN Legal business name | Wolf, Heather R |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2008 |
| Last updated | Feb 8th, 2008 - about 18 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 | 1003094301 | NPPES |
| Wisconsin | MEDICAID | 35044800 |
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