Depew, Ami
Depew, Ami is an individual health care provider with primary practice located at 720 Ackley Street , Antigo WI 54409. 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. Depew, Ami can be contacted via phone (715) 623-2292.Contact Information
Primary practice address
720 Ackley Street
Antigo WI 54409
Phone: (715) 623-2292
Fax: (715) 627-2660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6446024 | Wisconsin |
Profile Details
| NPI number | 1376617647 |
|---|---|
| LBN Legal business name | Depew, Ami |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 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 | 1376617647 | NPPES |
| Wisconsin | MEDICAID | 40364700 |
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