Marylee J Ubick
Individual provider Active NPI Attendant Care Provider · Omro, WI
NPI 1033767751 · NPPES record last updated Aug 27, 2019
Key facts
- NPI
- 1033767751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 701 Jackson Ave
Omro, WI 54963-1717 - Phone
- (920) 203-0603
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
701 Jackson Ave
Omro, WI 54963-1717
Mailing address
701 Jackson Ave
Omro, WI 54963-1717
Phone (920) 203-0603
Other providers in Omro, WI
- Chloe Steber
- Michael Stertz
- Sarah Jane Stinemates
- Courtney A Stuebs
- Melissa Jennifer Tracy
- Reid Van Gysel
- Janet Veith
- Wellcorp, LLC
- Mandy Wilke
All providers in Omro, WI · Attendant Care Provider in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.