Bardouche, Kasi Marie

Bardouche, Kasi Marie is an individual health care provider with primary practice located at 2884 Sussex Rd , Green Bay WI 54311-7475. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bardouche, Kasi Marie can be contacted via phone (920) 217-2174.

Contact Information

Primary practice address
2884 Sussex Rd Green Bay WI 54311-7475
Phone: (920) 217-2174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1144718511
LBN Legal business name Bardouche, Kasi Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 7 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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