Dennison, Emily Erin

Dennison, Emily Erin is an individual health care provider with primary practice located at 1626 N Spring St Suite B, Beaver Dam WI 53916-1283. 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. Dennison, Emily Erin can be contacted via phone (920) 356-0122.

Contact Information

Primary practice address
1626 N Spring St Suite B Beaver Dam WI 53916-1283
Phone: (920) 356-0122
Fax: (920) 356-0470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12754 Wisconsin

Profile Details

NPI number 1790158806
LBN Legal business name Dennison, Emily Erin
Credentials D.P.T
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 11 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 1790158806 NPPES
Wisconsin MEDICAID 1922363555
Wisconsin Other WI3182

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