Bantleon, Tracy
Bantleon, Tracy is an sole proprietor health care provider with primary practice located at 3129 Michigan Ave , Sheboygan WI 53081-3062. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bantleon, Tracy can be contacted via phone (920) 458-1155.Contact Information
Primary practice address
3129 Michigan Ave
Sheboygan WI 53081-3062
Phone: (920) 458-1155
Fax: (920) 458-1173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1999-19 | Wisconsin |
Profile Details
| NPI number | 1811301591 |
|---|---|
| LBN Legal business name | Bantleon, Tracy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2014 |
| Last updated | Jun 20th, 2014 - about 12 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.
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