Cresco, Daniel James

Cresco, Daniel James is an individual health care provider with primary practice located at 1126 S 70Th St Suite S305B, West Allis WI 53214-3151. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cresco, Daniel James can be contacted via phone (414) 456-2332.

Contact Information

Primary practice address
1126 S 70Th St Suite S305B West Allis WI 53214-3151
Phone: (414) 456-2332
Fax: (414) 456-2339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3186 Wisconsin

Profile Details

NPI number 1215104567
LBN Legal business name Cresco, Daniel James
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 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 1215104567 NPPES
Wisconsin MEDICAID 40107700

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