Ausse, Kim Marie
Ausse, Kim Marie is an individual health care provider with primary practice located at 3100 Washihgton Road Washington Manor, Kenosha WI 53144. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Ausse, Kim Marie can be contacted via phone (262) 658-4039.Contact Information
Primary practice address
3100 Washihgton Road Washington Manor
Kenosha WI 53144
Phone: (262) 658-4039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 1138-027 | Wisconsin |
Profile Details
| NPI number | 1801062328 |
|---|---|
| LBN Legal business name | Ausse, Kim Marie |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | May 5th, 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 | 1801062328 | NPPES |
| Wisconsin | MEDICAID | 40867200 |
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