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Contact Information

MIDWEST EMINENCE CARE, LLC
200 S EXECUTIVE DR STE 101
BROOKFIELD, WI53005-4216
 Phone: 262-789-2759
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for MIDWEST EMINENCE CARE LLC · (Female)

NPI # 1063938264
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2017
Last updated 08/17/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 100069896
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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