Brody, Lori Thein
Brody, Lori Thein is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code-2433, Madison WI 53792-0001. 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. Brody, Lori Thein can be contacted via phone (608) 662-0817.Contact Information
Primary practice address
600 Highland Ave Compliance Mail Code-2433
Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3359-024 | Wisconsin |
Profile Details
| NPI number | 1518988963 |
|---|---|
| LBN Legal business name | Brody, Lori Thein |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518988963 | NPPES |
| Wisconsin | Other | 3359-024 | PT |
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