Acker, Shalla Marlene
Acker, Shalla Marlene is an individual health care provider with primary practice located at 819 Ash St , Spooner WI 54801-1201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Acker, Shalla Marlene can be contacted via phone (715) 635-2111.Contact Information
Primary practice address
819 Ash St
Spooner WI 54801-1201
Phone: (715) 635-2111
Fax: (715) 635-8674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 37005 | Wisconsin |
Profile Details
| NPI number | 1487784179 |
|---|---|
| LBN Legal business name | Acker, Shalla Marlene |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1487784179 | NPPES |
| Wisconsin | MEDICAID | 40364500 |
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