Bartz-Bentz, Carol Lynn

Bartz-Bentz, Carol Lynn is an sole proprietor health care provider with primary practice located at E5551 State Road 161 , Manawa WI 54949-9601. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bartz-Bentz, Carol Lynn can be contacted via phone (920) 596-2337.

Contact Information

Primary practice address
E5551 State Road 161 Manawa WI 54949-9601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20-026 Wisconsin

Profile Details

NPI number 1376745976
LBN Legal business name Bartz-Bentz, Carol Lynn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376745976 NPPES
Wisconsin MEDICAID 40543300

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